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1932519477
TALIA SHIDE
VANCOUVER, WA
NPI
1932519477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-05-06
Last Update Date
2014-05-06
Business Address
-- TALIA SHIDE
309 W 12TH ST
VANCOUVER, WA 98660-2903
Phone number: 360-695-1325
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Mailing Address
-- TALIA SHIDE
PO BOX 605
VANCOUVER, WA 98666-0605
Phone number:
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