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1649439001
PAUL BRADLEY MELLICK
EDMONDS, WA
NPI
1649439001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC00060417)
Enumeration Date
2008-06-02
Last Update Date
2008-06-02
Business Address
-- PAUL BRADLEY MELLICK MA
547 DAYTON ST
EDMONDS, WA 98020-3431
Phone number: 425-771-5166
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Mailing Address
-- PAUL BRADLEY MELLICK MA
26402 CAMBRIDGE DR
KENT, WA 98032-7133
Phone number:
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