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Individual

MR. CHARLES ANTHONY MARKLAND II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8645 MARTIN WAY E, LACEY, WA 98516-5851
(360) 515-0422
Mailing address
8645 MARTIN WAY E, LACEY, WA 98516-5851
(360) 515-0422

Taxonomy

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

Other

Enumeration date
12/19/2023
Last updated
12/19/2023
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