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1326577784
MICHAEL RETALLICK
PORT ORCHARD, WA
NPI
1326577784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA MC61451366)
Enumeration Date
2017-06-08
Last Update Date
2023-07-31
Business Address
MICHAEL RETALLICK
1006 SW MELROSE LN
PORT ORCHARD, WA 98367-8306
Phone number: 360-633-6782
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Mailing Address
MICHAEL RETALLICK
222 SE 8TH AVE STE 212
HILLSBORO, OR 97123-4218
Phone number:
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