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Individual
SEAN SOTH
Active
Individual
SEAN SOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60235869
WA
376K00000X
Nurse's Aide
NC10053032
WA
Other
Enumeration date
11/05/2018
Last updated
11/06/2018
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