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1912665019
MARC POWELL
LAKEWOOD, WA
NPI
1912665019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61171586)
Enumeration Date
2021-12-06
Last Update Date
2021-12-06
Business Address
MARC POWELL
9720 S TACOMA WAY
LAKEWOOD, WA 98499-4456
Phone number: 253-304-7753
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Mailing Address
MARC POWELL
9720 S TACOMA WAY
LAKEWOOD, WA 98499-4456
Phone number: 253-304-7753
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