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1043946817
MATHEW BERGENDAHL
OLYMPIA, WA
NPI
1043946817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SD LPC20177)
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
MATHEW BERGENDAHL
5419 COURTNEY ST SE
OLYMPIA, WA 98513-4613
Phone number: 360-451-0611
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Mailing Address
MATHEW BERGENDAHL
5419 COURTNEY ST SE
OLYMPIA, WA 98513-4613
Phone number: 360-451-0611
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