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1780148239
WYLIE JOE SUMMERLIN
LYNNWOOD, WA
NPI
1780148239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60853222)
Enumeration Date
2019-01-29
Last Update Date
2019-01-29
Business Address
WYLIE JOE SUMMERLIN
4230 198TH ST SW
LYNNWOOD, WA 98036-6762
Phone number: 425-248-4900
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Mailing Address
WYLIE JOE SUMMERLIN
4230 198TH ST SW
LYNNWOOD, WA 98036-6762
Phone number: 425-248-4900
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