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1235413055
CHARISSA GRACE MATTHIAS
TACOMA, WA
NPI
1235413055
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Former Name
CHARISSA GRACE HULET
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA MC60192126)
Enumeration Date
2011-09-29
Last Update Date
2011-09-29
Business Address
CHARISSA GRACE MATTHIAS
1516 S 11TH ST
TACOMA, WA 98405-3332
Phone number: 253-396-1634
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Mailing Address
CHARISSA GRACE MATTHIAS
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-3335
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