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1760081004
TAYLOR SHAE BRENNEISE
LAKEWOOD, WA
NPI
1760081004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CM60473396)
Enumeration Date
2020-10-19
Last Update Date
2020-10-19
Business Address
TAYLOR SHAE BRENNEISE MA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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Mailing Address
TAYLOR SHAE BRENNEISE MA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
Copy
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