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1912475666
ANDREW THOMAS
LACEY, WA
NPI
1912475666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60770977)
Enumeration Date
2018-11-09
Last Update Date
2018-11-09
Business Address
ANDREW THOMAS CDPT
4800 COLLEGE ST SE
LACEY, WA 98503-4389
Phone number: 360-486-6053
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Mailing Address
ANDREW THOMAS CDPT
106 SANDY LN
CENTRALIA, WA 98531-8949
Phone number:
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