Individual
GUY RAYMOND CADWALLADER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1960 THOMPSON DR, SEDRO WOOLLEY, WA 98284-5007
(360) 856-3112
Mailing address
7440 W MARGINAL WAY S, SEATTLE, WA 98108-4141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60520760
WA
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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