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1134691298
BREDA KAILYN WAITE
BURIEN, WA
NPI
1134691298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC60882904)
Enumeration Date
2018-12-29
Last Update Date
2018-12-29
Business Address
BREDA KAILYN WAITE MACP, LMHC-A
1033 SW 152ND ST
BURIEN, WA 98166-1845
Phone number: 509-432-1089
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Mailing Address
BREDA KAILYN WAITE MACP, LMHC-A
1707 S WASHINGTON ST
TACOMA, WA 98405-2070
Phone number: 509-432-1089
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