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Individual
MS. TERESA LOUISE TOLAN
Active
Individual
MS. TERESA LOUISE TOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMP, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60014833
WA
163W00000X
Registered Nurse
RN00048632
WA
225700000X
Massage Therapist
MA00007338
WA
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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