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1881880003
CHAD ALAN DAVIS
MOSES LAKE, WA
NPI
1881880003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH60071760)
Enumeration Date
2007-09-20
Last Update Date
2012-06-12
Business Address
Mr. CHAD ALAN DAVIS
1021 W BROADWAY AVE SUITE A
MOSES LAKE, WA 98837-2604
Phone number: 509-764-4164
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Mailing Address
Mr. CHAD ALAN DAVIS
1021 W BROADWAY AVE SUITE A
MOSES LAKE, WA 98837-2604
Phone number: 509-764-4164
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