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1669011243
JOHN CARLSEN
PUYALLUP, WA
NPI
1669011243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-12-31
Last Update Date
2019-12-31
Business Address
JOHN CARLSEN
5620 112TH ST E STE 215
PUYALLUP, WA 98373-3206
Phone number: 253-209-4403
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Mailing Address
JOHN CARLSEN
5620 112TH ST E STE 215
PUYALLUP, WA 98373-3206
Phone number: 253-209-4403
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