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1942883350
REGINA WEAVER-ERVIN
RENTON, WA
NPI
1942883350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 61128940)
Enumeration Date
2021-05-03
Last Update Date
2021-05-03
Business Address
REGINA WEAVER-ERVIN
2000 BENSON RD S STE 250
RENTON, WA 98055-4454
Phone number: 425-254-2899
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Mailing Address
REGINA WEAVER-ERVIN
6297 S 153RD ST
TUKWILA, WA 98188-2539
Phone number: 206-966-0943
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