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1518571454
KYLE C PETRICEK
SEATTLE, WA
NPI
1518571454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA 61223148)
Enumeration Date
2020-09-08
Last Update Date
2022-01-03
Business Address
KYLE C PETRICEK
619 N 35TH ST STE 206
SEATTLE, WA 98103-8640
Phone number: 630-300-4017
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Mailing Address
KYLE C PETRICEK
2400 NW 80TH ST
SEATTLE, WA 98117-4449
Phone number: 630-300-4017
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