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1992294649
JEFFREY PHILIP STEVENS
BOTHELL, WA
NPI
1992294649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-05-08
Last Update Date
2018-05-08
Business Address
MR. JEFFREY PHILIP STEVENS
3615 182ND ST SE
BOTHELL, WA 98012-6775
Phone number: 206-818-2045
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Mailing Address
MR. JEFFREY PHILIP STEVENS
3615 182ND ST SE
BOTHELL, WA 98012-6775
Phone number: 206-818-2045
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