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1104555150
CHARLES NATHANIEL LYLES
RENTON, WA
NPI
1104555150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA 61265382)
Enumeration Date
2022-06-06
Last Update Date
2024-08-22
Business Address
Mr. CHARLES NATHANIEL LYLES LSWAIC
707 S GRADY WAY STE 300
RENTON, WA 98057-3245
Phone number: 888-998-6423
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Mailing Address
Mr. CHARLES NATHANIEL LYLES LSWAIC
707 S GRADY WAY STE 300
RENTON, WA 98057-3245
Phone number: 888-998-6423
Copy
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