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1295204287
DAVID KETOLA
SHORELINE, WA
NPI
1295204287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA 60904560)
Enumeration Date
2018-11-19
Last Update Date
2018-11-19
Business Address
DAVID KETOLA LMHCA
1539 NE 177TH ST STE B
SHORELINE, WA 98155-5279
Phone number: 206-401-4639
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Mailing Address
DAVID KETOLA LMHCA
621 N 179TH ST
SHORELINE, WA 98133-4727
Phone number: 206-401-4639
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