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1982747580
LAWRENCE LEROY LAYTON
BREMERTON, WA
NPI
1982747580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00002561)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
-- LAWRENCE LEROY LAYTON BA
5455 ALMIRA DR SE
BREMERTON, WA 98311-8330
Phone number: 360-479-4994
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Mailing Address
-- LAWRENCE LEROY LAYTON BA
5455 ALMIRA DR SE
BREMERTON, WA 98311
Phone number: 360-479-4994
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