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1730261900
TEDD G WALT
PORT ORCHARD, WA
NPI
1730261900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH00006061)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
-- TEDD G WALT LMHC
502 HIGH ST #202
PORT ORCHARD, WA 98366
Phone number: 360-876-5483
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Mailing Address
-- TEDD G WALT LMHC
502 HIGH ST #202
PORT ORCHARD, WA 98366
Phone number: 360-876-5483
Copy
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