MATTHEW DEROSA

VANCOUVER, WA
NPI1255762266
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: WA  CG60426432)
Enumeration Date2013-12-02
Last Update Date2013-12-02
Business Address
MATTHEW DEROSA
1014 MAIN ST
VANCOUVER, WA 98660-3151
Phone number: 360-695-1014
Mailing Address
MATTHEW DEROSA
1014 MAIN ST
VANCOUVER, WA 98660-3151
Phone number: 360-695-1014
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