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1013609668
GAGE EDWARD LAFFERTY
CENTRALIA, WA
NPI
1013609668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-05-23
Last Update Date
2023-05-23
Business Address
GAGE EDWARD LAFFERTY
3510 STEELHAMMER DR
CENTRALIA, WA 98531-4551
Phone number: 360-999-7602
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Mailing Address
GAGE EDWARD LAFFERTY
3510 STEELHAMMER DR
CENTRALIA, WA 98531-4551
Phone number: 360-999-7602
Copy
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