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1669907895
NATHAN MICKLEY
VANCOUVER, WA
NPI
1669907895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-04-25
Last Update Date
2020-10-01
Business Address
NATHAN MICKLEY
317 E 39TH ST
VANCOUVER, WA 98663-2233
Phone number: 360-546-1722
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Mailing Address
NATHAN MICKLEY
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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