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1144402918
RICHARD GRANT JETER
EVERETT, WA
NPI
1144402918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA rc00010692)
Enumeration Date
2007-12-03
Last Update Date
2007-12-03
Business Address
Mr. RICHARD GRANT JETER BA
3322 BROADWAY 1ST FLOOR
EVERETT, WA 98201-4425
Phone number: 424-349-6800
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Mailing Address
Mr. RICHARD GRANT JETER BA
PO BOX 1012
SNOHOMISH, WA 98291-1012
Phone number: 360-722-1532
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