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1245349984
HEIDI MATLACK
EVERETT, WA
NPI
1245349984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC00051099)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
-- HEIDI MATLACK
3322 BROADWAY
EVERETT, WA 98201-4425
Phone number: 425-349-6825
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Mailing Address
-- HEIDI MATLACK
3322 BROADWAY
EVERETT, WA 98201-4425
Phone number: 425-349-6825
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