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1841692084
DAVID FAGERHOLM
SEATTLE, WA
NPI
1841692084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC 60612129)
Enumeration Date
2014-09-18
Last Update Date
2016-07-22
Business Address
-- DAVID FAGERHOLM M.Ed,MHP, LMHCA, NCC
122 16TH AVE E
SEATTLE, WA 98112-5212
Phone number: 206-302-2700
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Mailing Address
-- DAVID FAGERHOLM M.Ed,MHP, LMHCA, NCC
1600 E OLIVE ST
SEATTLE, WA 98122-2735
Phone number:
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