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Individual
R GARTH RETALLICK
Active
Individual
R GARTH RETALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LH 60344426
WA
Other
Enumeration date
02/02/2012
Last updated
10/17/2013
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