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1891222774
TIMOTHY PAUL LEWIS
PUYALLUP, WA
NPI
1891222774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA mhcamc60323305)
Enumeration Date
2017-05-22
Last Update Date
2018-03-17
Business Address
TIMOTHY PAUL LEWIS
401 15TH AVE SE
PUYALLUP, WA 98372-3715
Phone number: 253-686-8335
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Mailing Address
TIMOTHY PAUL LEWIS
5414 MARIAN DR NE
OLYMPIA, WA 98516-2247
Phone number: 253-686-8335
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