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1356624753
PARKE GILLETTE BURGESS
TACOMA, WA
NPI
1356624753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA MC60316533)
Enumeration Date
2011-09-21
Last Update Date
2021-11-16
Business Address
MR. PARKE GILLETTE BURGESS LMHCA
3503 N CHEYENNE ST
TACOMA, WA 98407-4822
Phone number: 253-304-1411
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Mailing Address
MR. PARKE GILLETTE BURGESS LMHCA
3503 N CHEYENNE ST
TACOMA, WA 98407-4822
Phone number: 253-304-1411
Copy
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