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1851166011
CODY IVAN LINCOLN
TUMWATER, WA
NPI
1851166011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2023-11-17
Last Update Date
2023-11-17
Business Address
CODY IVAN LINCOLN msw
3825 FERGUSON ST SW
TUMWATER, WA 98512
Phone number: 360-943-1907
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Mailing Address
CODY IVAN LINCOLN msw
3825 FERGUSON ST SW
TUMWATER, WA 98512
Phone number: 360-943-1907
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