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1515 Sinclair Dr Dupont WA 98327-7756 | |
| (360) 742-6351 | |
| (253) 320-2145 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1515 Sinclair Dr, Dupont, Washington |
| Authorized Official Name and Position | Marguerite Cross (SOLE MEMBER) |
| Authorized Official Contact | 3607426351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1515 Sinclair Dr Dupont WA 98327-7756 Ph: (253) 221-1855 | 1515 Sinclair Dr Dupont WA 98327-7756 Ph: (360) 742-6351 |
| NPI Number | 1881105997 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 10/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881105997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SC60715356 (Washington) | Primary |
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