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1912440108
ROWELL DELA CRUZ
MOUNT VERNON, WA
NPI
1912440108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60342495)
Enumeration Date
2016-11-21
Last Update Date
2016-11-21
Business Address
-- ROWELL DELA CRUZ
210 N 17TH ST
MOUNT VERNON, WA 98273-3443
Phone number: 360-540-0251
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Mailing Address
-- ROWELL DELA CRUZ
210 N 17TH ST
MOUNT VERNON, WA 98273-3443
Phone number: 360-540-0251
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