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1821650938
STUART MARTIN BEASLEY
PORT ORCHARD, WA
NPI
1821650938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60961854)
Enumeration Date
2019-06-28
Last Update Date
2019-06-28
Business Address
STUART MARTIN BEASLEY CO60961854
1415 LUMSDEN RD
PORT ORCHARD, WA 98367-9179
Phone number: 360-876-9430
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Mailing Address
STUART MARTIN BEASLEY CO60961854
861 MAHOGANY LN NW
SILVERDALE, WA 98383-8905
Phone number: 360-620-9505
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