GERRY WILWANT

YAKIMA, WA
NPI1467673285
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WA  CG60131854)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2007-05-01
Last Update Date2011-03-17
Business Address
-- GERRY WILWANT
505 S 4TH AVE
YAKIMA, WA 98902
Phone number: 509-575-4084
Mailing Address
-- GERRY WILWANT
PO BOX 959
YAKIMA, WA 98907
Phone number:
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