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1952903353
KEITH WESLEY SNOW
WENATCHEE, WA
NPI
1952903353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61109643)
Enumeration Date
2020-11-10
Last Update Date
2020-11-10
Business Address
Mr. KEITH WESLEY SNOW SUDPT
327 OKANOGAN AVE
WENATCHEE, WA 98801-2970
Phone number: 509-662-9673
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Mailing Address
Mr. KEITH WESLEY SNOW SUDPT
327 OKANOGAN AVE
WENATCHEE, WA 98801-2970
Phone number: 509-662-9673
Copy
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