SAM J MAILHOT

CENTRALIA, WA
NPI1699239202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: WA  60901352)
Enumeration Date2019-01-28
Last Update Date2019-11-15
Business Address
SAM J MAILHOT
1641 KRESKY AVE
CENTRALIA, WA 98531-8912
Phone number: 360-506-0058
Mailing Address
SAM J MAILHOT
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
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