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1003240177
MICHAEL CONNOLLY
TACOMA, WA
NPI
1003240177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: WA CG60396523)
Enumeration Date
2013-08-26
Last Update Date
2013-08-26
Business Address
-- MICHAEL CONNOLLY
1826 MARKHAM AVE NE # B
TACOMA, WA 98422-1015
Phone number: 541-637-6855
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Mailing Address
-- MICHAEL CONNOLLY
PO BOX 3841
FEDERAL WAY, WA 98063-3841
Phone number: 541-637-6855
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