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1164165312
TERESA MARIE MACKTAL
SEATTLE, WA
NPI
1164165312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA 61259688)
Enumeration Date
2022-04-15
Last Update Date
2022-04-15
Business Address
-- TERESA MARIE MACKTAL
2100 24TH AVE S
SEATTLE, WA 98144-4637
Phone number: 206-382-5340
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Mailing Address
-- TERESA MARIE MACKTAL
2100 24TH AVE S
SEATTLE, WA 98144-4637
Phone number: 206-382-5340
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