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1083491062
ELIJAH JJ BRYANT
OLYMPIA, WA
NPI
1083491062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA NC61418365)
Enumeration Date
2023-09-12
Last Update Date
2023-09-12
Business Address
ELIJAH JJ BRYANT
3436 MARY ELDER RD NE # 98506
OLYMPIA, WA 98506-5050
Phone number: 360-528-2590
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Mailing Address
ELIJAH JJ BRYANT
7602 3RD WAY SE APT 27
LACEY, WA 98503-1569
Phone number: 253-348-1193
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