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1285979302
JOEL S MOG
SEATTLE, WA
NPI
1285979302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LW60041965)
Enumeration Date
2012-11-29
Last Update Date
2012-11-29
Business Address
-- JOEL S MOG
655 S ORCAS ST SUITE 122
SEATTLE, WA 98108-2648
Phone number: 253-833-7444
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Mailing Address
-- JOEL S MOG
325 W GOWE ST
KENT, WA 98032-5892
Phone number: 253-833-7444
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