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1851026678
THEODORE ROBERT MAUSSHARDT
EVERETT, WA
NPI
1851026678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CL60151323)
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
THEODORE ROBERT MAUSSHARDT
1112 CLINTON PL
EVERETT, WA 98201-4609
Phone number: 425-258-4933
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Mailing Address
THEODORE ROBERT MAUSSHARDT
1112 CLINTON PL
EVERETT, WA 98201-4609
Phone number: 425-258-4933
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