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1467836304
RICHARD EMERY CLEVENGER
CENTRALIA, WA
NPI
1467836304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA CG 60577619)
Enumeration Date
2015-07-09
Last Update Date
2015-07-09
Business Address
RICHARD EMERY CLEVENGER BA,AAC
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
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Mailing Address
RICHARD EMERY CLEVENGER BA,AAC
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
Copy
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