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1932633468
TERA RISENHOOVER
CENTRALIA, WA
NPI
1932633468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG 6071125)
Enumeration Date
2017-04-11
Last Update Date
2017-04-11
Business Address
-- TERA RISENHOOVER BA, AAC
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
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Mailing Address
-- TERA RISENHOOVER BA, AAC
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
Copy
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