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1922755115
JUSTIN HERNDON
TUKWILA, WA
NPI
1922755115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
1041C0700X Social Worker, Clinical
Enumeration Date
2022-03-07
Last Update Date
2023-04-24
Business Address
JUSTIN HERNDON LSWAIC
6400 SOUTHCENTER BLVD
TUKWILA, WA 98188-2547
Phone number: 206-901-2000
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Mailing Address
JUSTIN HERNDON LSWAIC
6400 SOUTHCENTER BLVD
TUKWILA, WA 98188-2547
Phone number: 206-901-2000
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