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Individual

MR. ANTONY LOLO XCZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SOCIAL WORKER

Contact information

Practice address
13555 NE BEL RED RD STE 228, BELLEVUE, WA 98005-2324
(206) 901-2000
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(253) 833-7444
(253) 520-1799

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60166232
WA
1041C0700X
Clinical Social Worker
SC60258191
WA

Other

Enumeration date
11/10/2014
Last updated
12/05/2022
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