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1972087104
VIRGINIA AGUSTIN
SEATTLE, WA
NPI
1972087104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60978301)
Enumeration Date
2018-09-24
Last Update Date
2019-11-07
Business Address
VIRGINIA AGUSTIN
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144-6847
Phone number: 206-695-7600
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Mailing Address
VIRGINIA AGUSTIN
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144-6847
Phone number: 206-695-7600
Copy
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