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1629434733
ERIC PETER LARSON
COLVILLE, WA
NPI
1629434733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60615815)
Enumeration Date
2016-01-05
Last Update Date
2016-01-05
Business Address
-- ERIC PETER LARSON
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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Mailing Address
-- ERIC PETER LARSON
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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