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1760440895
JOSEPH R ETHERAGE
TACOMA, WA
NPI
1760440895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: AL 981)
Enumeration Date
2006-05-01
Last Update Date
2007-07-08
Business Address
DR. JOSEPH R ETHERAGE PSYD
BLDG 9040 FITZSIMMONS DRIVE
TACOMA, WA 98431-0001
Phone number: 253-968-2751
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Mailing Address
DR. JOSEPH R ETHERAGE PSYD
3047 OLD PORT LN NW
OLYMPIA, WA 98502-3963
Phone number: 360-481-7081
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