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1558982058
EDWARD THOMAS GOLLIHUGH
CENTRALIA, WA
NPI
1558982058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2020-05-06
Last Update Date
2021-01-19
Business Address
EDWARD THOMAS GOLLIHUGH
209 W MAIN ST
CENTRALIA, WA 98531-4245
Phone number: 360-623-1264
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Mailing Address
EDWARD THOMAS GOLLIHUGH
209 W MAIN ST
CENTRALIA, WA 98531-4245
Phone number: 360-623-1265
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