MAVERICK MIRIAM TANG

BELLINGHAM, WA
NPI1952834095
Former NameMIRIAM TANG
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60993506)
Enumeration Date2017-04-05
Last Update Date2019-08-22
Business Address
MAVERICK MIRIAM TANG CDPT
515 LAKEWAY DR
BELLINGHAM, WA 98225-5233
Phone number: 360-676-2187
Mailing Address
MAVERICK MIRIAM TANG CDPT
1610 LINCOLN ST APT 3
BELLINGHAM, WA 98229-6252
Phone number: 206-453-8501
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