DAN FAGERNESS

CENTRALIA, WA
NPI1356875371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2017-04-17
Last Update Date2017-04-17
Business Address
DAN FAGERNESS
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
Mailing Address
DAN FAGERNESS
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
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