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1063850352
ANN CHRISTINE THERIAULT
OTHELLO, WA
NPI
1063850352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60374065)
Enumeration Date
2013-06-07
Last Update Date
2013-06-07
Business Address
-- ANN CHRISTINE THERIAULT M.Ed.
425 E MAIN ST
OTHELLO, WA 99344-1146
Phone number: 509-488-5611
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Mailing Address
-- ANN CHRISTINE THERIAULT M.Ed.
425 E MAIN ST
OTHELLO, WA 99344-1146
Phone number: 509-488-5611
Copy
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