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1114072352
JUDITH FREED PROVASOLI
OLYMPIA, WA
NPI
1114072352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH00003779)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
Ms. JUDITH FREED PROVASOLI L.M.H.C.
1018 7TH AVE SE
OLYMPIA, WA 98501-1512
Phone number: 360-413-1709
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Mailing Address
Ms. JUDITH FREED PROVASOLI L.M.H.C.
1018 7TH AVE SE
OLYMPIA, WA 98501-1512
Phone number: 360-413-1709
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