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1134751423
MATTHEW P ANTOLICK
TACOMA, WA
NPI
1134751423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH60900776)
Enumeration Date
2020-02-05
Last Update Date
2020-02-05
Business Address
MATTHEW P ANTOLICK LMHC
621 PACIFIC AVE STE 302
TACOMA, WA 98402-4611
Phone number: 321-439-9348
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Mailing Address
MATTHEW P ANTOLICK LMHC
4309 S M ST
TACOMA, WA 98418-3708
Phone number: 321-439-9348
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