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Individual

SCOTT DALGLEISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
614 DIVISION ST, PORT ORCHARD, WA 98366-4614
(360) 337-4625
Mailing address
614 DIVISION ST, PORT ORCHARD, WA 98366-4614
(360) 337-4625

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60479655
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
071252
WA
Enumeration date
12/27/2018
Last updated
12/27/2018
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