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1121 Se Dock St Oak Harbor WA 98277-4067 | |
| (360) 581-9028 | |
| (360) 679-2777 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1121 Se Dock St, Oak Harbor, Washington |
| Authorized Official Name and Position | Christina Pauline Rich (OWNER) |
| Authorized Official Contact | 3603209969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 483 Tokeland WA 98590-0483 Ph: (360) 581-9028 | 1121 Se Dock St Oak Harbor WA 98277-4067 Ph: (360) 581-9028 |
| NPI Number | 1578578373 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 01/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578578373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW00008721 (Washington) | Primary |
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