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1891411161
TEEGAN NICOLE WALTZ
CENTRALIA, WA
NPI
1891411161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2022-10-18
Last Update Date
2022-10-20
Business Address
TEEGAN NICOLE WALTZ
3510 STEELHAMMER DR
CENTRALIA, WA 98531-4551
Phone number: 360-623-8020
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Mailing Address
TEEGAN NICOLE WALTZ
1401 JOHNSON RD APT 53
CENTRALIA, WA 98531-4574
Phone number:
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