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1386177970
MAVERICK HEMINGER
OLYMPIA, WA
NPI
1386177970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG60631641)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2017-04-10
Last Update Date
2022-04-06
Business Address
MR. MAVERICK HEMINGER
711 STATE AVE NE
OLYMPIA, WA 98506-3984
Phone number: 360-943-0780
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Mailing Address
MR. MAVERICK HEMINGER
711 STATE AVE NE
OLYMPIA, WA 98506-3984
Phone number: 360-943-0780
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