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1861856775
SHAYDON CHILDERS
BREMERTON, WA
NPI
1861856775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-04-06
Last Update Date
2016-04-06
Business Address
-- SHAYDON CHILDERS
322 WILLOW ST
BREMERTON, WA 98310-2638
Phone number: 360-689-5175
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Mailing Address
-- SHAYDON CHILDERS
322 WILLOW ST
BREMERTON, WA 98310-2638
Phone number: 360-689-5175
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