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316 Maple Ave # B Snohomish WA 98290-2526 | |
| (206) 380-6142 | |
| (360) 863-2469 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 316 Maple Ave # B, Snohomish, Washington |
| Authorized Official Name and Position | Linda Redmon (SECRETARY, TREASURER, OFFICE MGR) |
| Authorized Official Contact | 2065019287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1429 Avenue D # 423 Snohomish WA 98290-1742 Ph: (206) 501-9287 | 316 Maple Ave # B Snohomish WA 98290-2526 Ph: (206) 380-6142 |
| NPI Number | 1134531817 |
|---|---|
| Provider Enumeration Date | 05/29/2014 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134531817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY00003507 (Washington) | Primary |
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