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1174703987
KAREN ROSE WILD
TACOMA, WA
NPI
1174703987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA OT00000320)
Enumeration Date
2007-11-08
Last Update Date
2007-11-08
Business Address
MISS KAREN ROSE WILD OTR/L
514 S 13TH ST
TACOMA, WA 98402-1908
Phone number: 253-396-5000
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Mailing Address
MISS KAREN ROSE WILD OTR/L
6839 S JUNETT ST
TACOMA, WA 98409-6050
Phone number: 253-473-5911
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