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1922104629
GERALD M. TEBO
SEATTLE, WA
NPI
1922104629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WA LW00006490)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
GERALD M. TEBO LICSW
325 9TH AVE BOX 359930
SEATTLE, WA 98104-2420
Phone number: 206-731-3000
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Mailing Address
GERALD M. TEBO LICSW
325 9TH AVE BOX 359750
SEATTLE, WA 98104-2420
Phone number: 206-744-9888
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