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1912562141
BEN VANDUSEN
LYNNWOOD, WA
NPI
1912562141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA SC61598963)
Enumeration Date
2019-05-02
Last Update Date
2024-10-16
Business Address
BEN VANDUSEN
15907 ASH WAY UNIT D610
LYNNWOOD, WA 98087-5253
Phone number: 302-270-1196
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Mailing Address
BEN VANDUSEN
15907 ASH WAY UNIT D610
LYNNWOOD, WA 98087-5253
Phone number: 302-270-1196
Copy
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