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1922723808
BRIAN HERVERT
AUBURN, WA
NPI
1922723808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP61271962)
Enumeration Date
2022-10-04
Last Update Date
2022-10-04
Business Address
BRIAN HERVERT SUDP
3320 AUBURN WAY N
AUBURN, WA 98002-1805
Phone number: 253-999-5750
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Mailing Address
BRIAN HERVERT SUDP
3320 AUBURN WAY N
AUBURN, WA 98002-1805
Phone number: 253-999-5750
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