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1184874950
ROSS ALLAN MOUTIER
PUYALLUP, WA
NPI
1184874950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60138219)
Enumeration Date
2008-09-29
Last Update Date
2018-10-26
Business Address
ROSS ALLAN MOUTIER MA
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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Mailing Address
ROSS ALLAN MOUTIER MA
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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