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Individual
TARLETON DIMAGGIO BROWN
Active
Individual
TARLETON DIMAGGIO BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA, AAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60197008
WA
101YM0800X
Mental Health Counselor
Primary
CG60197008
WA
Other
Enumeration date
09/06/2011
Last updated
07/24/2013
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