BRIAN JOHN DANFORTH

SEATTLE, WA
NPI1952871469
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60514054)
Enumeration Date2018-11-27
Last Update Date2018-11-27
Business Address
BRIAN JOHN DANFORTH CDP
1600 S LANE ST
SEATTLE, WA 98144-2810
Phone number: 206-682-2371
Mailing Address
BRIAN JOHN DANFORTH CDP
1600 S LANE ST
SEATTLE, WA 98144-2810
Phone number: 206-682-2371
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