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721 Fawcett Ave Suite 101 Tacoma WA 98402-5502 | |
| (253) 284-9041 | |
| (253) 593-2396 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 721 Fawcett Ave, Tacoma, Washington |
| Authorized Official Name and Position | Rebecca Ann Bird (PROGRAM DIRECTOR) |
| Authorized Official Contact | 2532849041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
721 Fawcett Ave Suite 101 Tacoma WA 98402-5502 Ph: (253) 284-9041 | 721 Fawcett Ave Suite 101 Tacoma WA 98402-5502 Ph: (253) 284-9041 |
| NPI Number | 1033365929 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033365929 | NPI | - | NPPES |
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