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1841203395
MARK PATRICK MASTERSON
VANCOUVER, WA
NPI
1841203395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LW00004819)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
Mr. MARK PATRICK MASTERSON MSW
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6055
Phone number: 360-896-4460
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Mailing Address
Mr. MARK PATRICK MASTERSON MSW
3847 NE 23RD AVE
PORTLAND, OR 97212-1449
Phone number: 503-287-6513
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