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Organization
COASTAL COMMUNITY ACTION PROGRAM
Active
Organization
COASTAL COMMUNITY ACTION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG L DUBLANKO (EXECUTIVE DIRECTOR)
(360) 533-5100
Entity
Organization
Contact information
Practice address
117 E 3RD ST, ABERDEEN, WA 98520-4002
(360) 533-5100
(360) 532-4623
Mailing address
117 E 3RD ST, ABERDEEN, WA 98520-4002
(360) 533-5100
(360) 532-4623
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7408222
—
WA
Enumeration date
11/24/2010
Last updated
11/24/2010
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