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1225171853
JERYLE P ANDERSON
CHEHALIS, WA
NPI
1225171853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC00054114)
Enumeration Date
2007-02-14
Last Update Date
2007-07-09
Business Address
Mr. JERYLE P ANDERSON B.A.
135 W MAIN ST
CHEHALIS, WA 98532-4817
Phone number: 360-748-6696
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Mailing Address
Mr. JERYLE P ANDERSON B.A.
1334 GARRISON ST NE
OLYMPIA, WA 98506-4337
Phone number: 360-970-5604
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