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Individual
ISAAC JOHN MCGAHAN
Active
Individual
ISAAC JOHN MCGAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60932375
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
871512541
CAS
WA
Enumeration date
06/19/2020
Last updated
06/19/2020
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