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1861212060
CHAD UPSHAW
LACEY, WA
NPI
1861212060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2024-10-12
Last Update Date
2024-10-12
Business Address
CHAD UPSHAW
673 WOODLAND SQUARE LOOP SE STE 330
LACEY, WA 98503-1066
Phone number: 415-710-6689
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Mailing Address
CHAD UPSHAW
1295 BANDANA BLVD N STE 210
SAINT PAUL, MN 55108-5115
Phone number:
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