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Individual
MR. JUDGE THOMAS KEARNS
Active
Individual
MR. JUDGE THOMAS KEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61341121
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
07/24/2022
Last updated
11/08/2022
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