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1932719051
THOMAS WELLES WHITAKER
PORT ANGELES, WA
NPI
1932719051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH61595693)
Enumeration Date
2020-08-04
Last Update Date
2024-11-22
Business Address
THOMAS WELLES WHITAKER
2431 W 16TH ST
PORT ANGELES, WA 98363-1347
Phone number: 206-422-8693
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Mailing Address
THOMAS WELLES WHITAKER
2431 W 16TH ST
PORT ANGELES, WA 98363-1347
Phone number: 206-422-8693
Copy
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