THOMAS A FOSSEDAL

MUKILTEO, WA
NPI1144754029
Former NameTHOMAS A FOSSEDAL
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  61600)
Enumeration Date2017-04-17
Last Update Date2017-04-17
Business Address
-- THOMAS A FOSSEDAL BA
7727 46TH PL W
MUKILTEO, WA 98275-2703
Phone number: 425-218-9771
Mailing Address
-- THOMAS A FOSSEDAL BA
7727 46TH PL W
MUKILTEO, WA 98275-2703
Phone number: 425-218-9771
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