PHONG LY

SEATTLE, WA
NPI1831513233
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-02-06
Last Update Date2020-01-08
Business Address
PHONG LY
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144-6847
Phone number: 206-774-2443
Mailing Address
PHONG LY
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144-6847
Phone number: 206-774-2443
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