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1356099279
MICHAEL BROUILLETTE
PUYALLUP, WA
NPI
1356099279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH61249379)
Enumeration Date
2022-03-10
Last Update Date
2022-03-10
Business Address
-- MICHAEL BROUILLETTE ED.D, LMHC, CHt
4411 2ND ST SW STE 3
PUYALLUP, WA 98373-3726
Phone number: 253-444-4131
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Mailing Address
-- MICHAEL BROUILLETTE ED.D, LMHC, CHt
15315 95TH AVENUE CT E
PUYALLUP, WA 98375-6712
Phone number: 253-444-4131
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