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1851346969
DWAYNE ANTONIO ELDER
TACOMA, WA
NPI
1851346969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801074453)
Enumeration Date
2006-05-24
Last Update Date
2007-07-08
Business Address
-- DWAYNE ANTONIO ELDER MSW
9040 A REID STREET
TACOMA, WA 98431-0001
Phone number: 253-565-2481
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Mailing Address
-- DWAYNE ANTONIO ELDER MSW
4902 76TH AVENUE CT W
UNIVERSITY PLACE, WA 98467-4579
Phone number:
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