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1417229626
R GARTH RETALLICK
PORT ORCHARD, WA
NPI
1417229626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH 60344426)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2012-02-02
Last Update Date
2013-10-17
Business Address
-- R GARTH RETALLICK MS, LMHC
707 SIDNEY PKWY UNIT 14
PORT ORCHARD, WA 98366-5318
Phone number: 360-471-4398
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Mailing Address
-- R GARTH RETALLICK MS, LMHC
707 SIDNEY PKWY UNIT 14
PORT ORCHARD, WA 98366-5318
Phone number: 360-471-4398
Copy
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