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1356905574
TIMOTHY ERIC RISE
CENTRALIA, WA
NPI
1356905574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-04-23
Last Update Date
2019-04-23
Business Address
Mr. TIMOTHY ERIC RISE
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
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Mailing Address
Mr. TIMOTHY ERIC RISE
1212 TRAILS END CT SE
TUMWATER, WA 98501-6850
Phone number:
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