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1962934125
JOSHUA ALAN BLACK
OLYMPIA, WA
NPI
1962934125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60152558)
Enumeration Date
2017-03-28
Last Update Date
2017-03-28
Business Address
-- JOSHUA ALAN BLACK CAAR
2708 WESTMOOR CT SW
OLYMPIA, WA 98502-5754
Phone number: 360-943-8810
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Mailing Address
-- JOSHUA ALAN BLACK CAAR
2708 WESTMOOR CT SW
OLYMPIA, WA 98502-5754
Phone number: 360-943-8810
Copy
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