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1821598756
DAVID WIEBE
TACOMA, WA
NPI
1821598756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60732476)
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
DAVID WIEBE
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number: 253-502-5424
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Mailing Address
DAVID WIEBE
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number:
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