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Individual
MR. KERRY MICHAEL HILLS
Active
Individual
MR. KERRY MICHAEL HILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00017983
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RC00017983
WA DEPT OF HEALTH RC#
WA
Enumeration date
11/29/2007
Last updated
11/29/2007
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