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1740460567
MICHAEL KENT LAEDERICH
TACOMA, WA
NPI
1740460567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA LH00003832)
Enumeration Date
2007-11-08
Last Update Date
2007-11-08
Business Address
DR. MICHAEL KENT LAEDERICH PHD
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 253-396-5860
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Mailing Address
DR. MICHAEL KENT LAEDERICH PHD
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 253-396-5860
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