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1083188007
TIMOTHY LANCE TETRAULT
SEATTLE, WA
NPI
1083188007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC60192134)
Enumeration Date
2019-01-12
Last Update Date
2021-04-09
Business Address
TIMOTHY LANCE TETRAULT LMHC
2743 CALIFORNIA AVE SW UNIT 301
SEATTLE, WA 98116-2495
Phone number: 206-450-3167
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Mailing Address
TIMOTHY LANCE TETRAULT LMHC
2743 CALIFORNIA AVE SW UNIT 301
SEATTLE, WA 98116-2495
Phone number: 206-450-3167
Copy
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