MATTHEW D GANDALL

EDMONDS, WA
NPI1396881462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  RC00040924)
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
-- MATTHEW D GANDALL
547 DAYTON ST
EDMONDS, WA 98020-3431
Phone number: 425-771-5166
Mailing Address
-- MATTHEW D GANDALL
11802 4TH AVE W APT A-101
EVERETT, WA 98204-4949
Phone number: 425-771-5166
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