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Individual
MR. RICHARD GRANT JETER
Active
Individual
MR. RICHARD GRANT JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00010692
WA
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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