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1255614095
ANTHONY A. MIRIELLO
VANCOUVER, WA
NPI
1255614095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60226214)
Enumeration Date
2011-09-27
Last Update Date
2012-01-06
Business Address
-- ANTHONY A. MIRIELLO M.A.
1014 MAIN STREET
VANCOUVER, WA 98661
Phone number: 360-695-1014
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Mailing Address
-- ANTHONY A. MIRIELLO M.A.
1014 MAIN STREET
VANCOUVER, WA 98661
Phone number: 360-695-1014
Copy
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