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1578890539
TIMOTHY P SHIELDS
YAKIMA, WA
NPI
1578890539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC60129746)
Enumeration Date
2009-11-12
Last Update Date
2012-01-10
Business Address
-- TIMOTHY P SHIELDS
402 S 4TH AVE
YAKIMA, WA 98902-3546
Phone number: 509-575-4084
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Mailing Address
-- TIMOTHY P SHIELDS
PO BOX 959
YAKIMA, WA 98907-0959
Phone number: 509-575-4084
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