GRANT J. WYLIE

LONGVIEW, WA
NPI1285038018
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-10-22
Last Update Date2014-10-22
Business Address
-- GRANT J. WYLIE
1105 BROADWAY ST
LONGVIEW, WA 98632-3830
Phone number: 360-425-8679
Mailing Address
-- GRANT J. WYLIE
1105 BROADWAY ST
LONGVIEW, WA 98632-3830
Phone number: 360-425-8679
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