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765 Wonn Rd #c202 Greenbank WA 98253-6422 | |
(360) 544-2245 | |
(360) 321-5697 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 765 Wonn Rd, Greenbank, Washington |
Authorized Official Name and Position | Lois Maryanne Haynes (PRESIDENT) |
Authorized Official Contact | 3605442245 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 881 Freeland WA 98249-0881 Ph: (360) 544-2245 | 765 Wonn Rd #c202 Greenbank WA 98253-6422 Ph: (360) 544-2245 |
NPI Number | 1821365974 |
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Provider Enumeration Date | 11/17/2011 |
Last Update Date | 11/17/2011 |
Identifier | Type | State | Issuer |
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1821365974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (Washington) | Primary |