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1821205808
GARY SOMDAHL
RICHLAND, WA
NPI
1821205808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA cp00001001)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- GARY SOMDAHL cdp
1305 MANSFIELD ST SUITE 5
RICHLAND, WA 99352-3588
Phone number: 509-942-1624
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Mailing Address
-- GARY SOMDAHL cdp
5503 ASPEN DR
WEST RICHLAND, WA 99353-7705
Phone number: 509-942-1624
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