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1972046969
RICHARD NELSON
EVERETT, WA
NPI
1972046969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60675388)
Enumeration Date
2016-11-23
Last Update Date
2016-11-23
Business Address
-- RICHARD NELSON CDP
9930 EVERGREEN WAY Z150
EVERETT, WA 98204-3883
Phone number: 425-347-5121
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Mailing Address
-- RICHARD NELSON CDP
9930 EVERGREEN WAY Z150
EVERETT, WA 98204-3883
Phone number: 425-347-5121
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