Linda Backenstose Ps Inc | |
1129 W Main St Suite 194 Monroe WA 98272-2034 | |
(360) 805-0935 | |
(360) 805-2835 |
Full Name | Linda Backenstose Ps Inc |
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Speciality | Social Worker - Clinical |
Location | 1129 W Main St, Monroe, Washington |
Authorized Official Name and Position | Linda Backenstose (PRESIDENT) |
Authorized Official Contact | 4253448041 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Linda Backenstose Ps Inc 1417 Ttereve Dr Everett WA 98203-5761 Ph: (425) 344-8041 | Linda Backenstose Ps Inc 1129 W Main St Suite 194 Monroe WA 98272-2034 Ph: (360) 805-0935 |
NPI Number | 1609194414 |
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Provider Enumeration Date | 05/04/2010 |
Last Update Date | 05/04/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609194414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW00005942 (Washington) | Primary |
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