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Individual

MR. TARIKU TSEGAYE MESSELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5112 NW TAYLOR ROAD, BREMERTON, WA 98312
(360) 373-2536
(360) 373-4934
Mailing address
5112 NW TAYLOR ROAD, BREMERTON, WA 98312
(360) 373-2536
(360) 373-4934

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
CG60424975
WA
2355S0801X
Speech-Language Assistant
Primary
SP60405596
WA

Other

Enumeration date
02/20/2014
Last updated
02/20/2014
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