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1912398694
MICHAEL THEISEN
ISSAQUAH, WA
NPI
1912398694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH60195901)
Enumeration Date
2015-02-17
Last Update Date
2015-02-17
Business Address
-- MICHAEL THEISEN
22530 SE 64TH PL STE 220
ISSAQUAH, WA 98027-5353
Phone number: 425-281-6405
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Mailing Address
-- MICHAEL THEISEN
22530 SE 64TH PLACE, SUITE 220
ISSAQUAH, WA 98027
Phone number: 425-281-6405
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