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1376317156
KAITLIN P WALLER
SHORELINE, WA
NPI
1376317156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA 61201001)
Enumeration Date
2023-11-13
Last Update Date
2023-11-13
Business Address
KAITLIN P WALLER LMHCA
19428 AURORA AVE N UNIT 23319428
SHORELINE, WA 98133-3938
Phone number: 831-588-4507
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Mailing Address
KAITLIN P WALLER LMHCA
PO BOX 65221
SHORELINE, WA 98155-9221
Phone number: 831-588-4507
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