WROTHELL FUNCHESS

KELSO, WA
NPI1730581877
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-09-19
Last Update Date2014-09-19
Business Address
-- WROTHELL FUNCHESS
1645 BOWMONT AVE
KELSO, WA 98626
Phone number: 360-353-3937
Mailing Address
-- WROTHELL FUNCHESS
1645 BOWMONT AVE
KELSO, WA 98626-3850
Phone number: 360-353-3937
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