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1265106264
MICHAEL OUTLAW
BURIEN, WA
NPI
1265106264
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Former Name
MICHAEL GREEN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-08-03
Last Update Date
2021-08-03
Business Address
MICHAEL OUTLAW
1210 SW 136TH ST
BURIEN, WA 98166-1214
Phone number: 206-257-6600
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Mailing Address
MICHAEL OUTLAW
2600 SW HOLDEN ST
SEATTLE, WA 98126-3505
Phone number:
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