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Individual

GEORGE GAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CO60917266

Contact information

Practice address
627 W FRANKLIN ST, SHELTON, WA 98584-3504
(360) 763-5610
Mailing address
3609 APOLLO ST SE, LACEY, WA 98503-7135
(360) 522-2088

Taxonomy

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

Other

Enumeration date
05/04/2021
Last updated
05/04/2021
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