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Individual
THOMAS EDWARD BISENIUS
Active
Individual
THOMAS EDWARD BISENIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00000487
WA
1041C0700X
Clinical Social Worker
Primary
LW60826217
WA
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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