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1407993652
WADE JAMES WALTER
TACOMA, WA
NPI
1407993652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH00007547)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
Mr. WADE JAMES WALTER MA
3580 PACIFIC AVE
TACOMA, WA 98418-7915
Phone number: 253-798-4373
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Mailing Address
Mr. WADE JAMES WALTER MA
9515 82ND AVE NW
GIG HARBOR, WA 98332-6710
Phone number: 360-473-3172
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