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Individual
SCOTT STURDIVAN
Active
Individual
SCOTT STURDIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP 00004028
WA
101YM0800X
Mental Health Counselor
Primary
LH 60740062
WA
Other
Enumeration date
05/26/2016
Last updated
04/11/2017
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