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1184811200
CHARLES I KOONCE
TACOMA, WA
NPI
1184811200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH00009907)
Enumeration Date
2007-10-02
Last Update Date
2007-10-02
Business Address
Mr. CHARLES I KOONCE LMHC
4602 45TH AVE NE APT 409
TACOMA, WA 98422-4420
Phone number: 253-238-8781
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Mailing Address
Mr. CHARLES I KOONCE LMHC
4602 45TH AVE NE APT 409
TACOMA, WA 98422-4420
Phone number: 253-238-8781
Copy
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