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1811535636
CARLOS GONZALEZ RAZO
LAKEWOOD, WA
NPI
1811535636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP61475346)
Enumeration Date
2019-12-11
Last Update Date
2023-12-01
Business Address
CARLOS GONZALEZ RAZO
7424 BRIDGEPORT WAY W STE 305&307
LAKEWOOD, WA 98499-8120
Phone number: 253-246-6820
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Mailing Address
CARLOS GONZALEZ RAZO
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 253-681-6626
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