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Individual
MICHAEL RETALLICK
Active
Individual
MICHAEL RETALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61451366
WA
103T00000X
Psychologist
Primary
PY70061210
WA
Other
Enumeration date
06/08/2017
Last updated
02/26/2026
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