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1659045086
KENNETH C. HALVORSON
TUMWATER, WA
NPI
1659045086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA SWI.LW.00005876)
Enumeration Date
2021-08-09
Last Update Date
2021-08-09
Business Address
KENNETH C. HALVORSON
3227 CHAPPAREL DR SW
TUMWATER, WA 98512-6365
Phone number: 360-969-1658
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Mailing Address
KENNETH C. HALVORSON
3227 CHAPPAREL DR SW
TUMWATER, WA 98512-6365
Phone number: 360-969-1658
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