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1194819540
RICHARD A MAYWALD
OTHELLO, WA
NPI
1194819540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC000170788)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
-- RICHARD A MAYWALD
425 E MAIN SUITE 600
OTHELLO, WA 99344
Phone number: 509-488-5611
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Mailing Address
-- RICHARD A MAYWALD
425 E MAIN SUITE 600
OTHELLO, WA 99344
Phone number: 509-488-5611
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