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1639570351
IAIN CROCKETT
PULLMAN, WA
NPI
1639570351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA CG60493589)
Enumeration Date
2014-09-12
Last Update Date
2017-03-24
Business Address
IAIN CROCKETT M.S.
340 NE MAPLE ST
PULLMAN, WA 99163-4120
Phone number: 509-334-1133
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Mailing Address
IAIN CROCKETT M.S.
340 NE MAPLE ST
PULLMAN, WA 99163-4120
Phone number: 509-334-1133
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