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1841038148
DUSTIN ROY SHOFSTALL
SEATTLE, WA
NPI
1841038148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2024-07-19
Last Update Date
2024-07-19
Business Address
DUSTIN ROY SHOFSTALL
2100 24TH AVE S
SEATTLE, WA 98144-4637
Phone number: 360-775-9333
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Mailing Address
DUSTIN ROY SHOFSTALL
2100 24TH AVE S
SEATTLE, WA 98144-4637
Phone number: 360-775-9333
Copy
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