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1902849284
JOHANNE B WALL
RENTON, WA
NPI
1902849284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH0004974)
Enumeration Date
2006-06-14
Last Update Date
2007-07-08
Business Address
-- JOHANNE B WALL
4445 TALBOT RD S
RENTON, WA 98055-6219
Phone number: 425-656-4055
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Mailing Address
-- JOHANNE B WALL
4445 TALBOT RD S
RENTON, WA 98055-6219
Phone number: 425-656-4055
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