Individual
BRIAN E AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 W K ST, SHELTON, WA 98584-2944
(360) 704-7170
Mailing address
2425 W RAILROAD AVE, SHELTON, WA 98584-7849
(360) 427-2512
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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