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5219 36th Ave E Tacoma WA 98443-1519 | |
(425) 502-5699 | |
(253) 446-8804 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 5219 36th Ave E, Tacoma, Washington |
Authorized Official Name and Position | Tracy L Stewart (MENTAL HEALTH THERAPIST) |
Authorized Official Contact | 4255025699 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5219 36th Ave E Tacoma WA 98443-1519 Ph: (425) 502-5699 | 5219 36th Ave E Tacoma WA 98443-1519 Ph: (425) 502-5699 |
NPI Number | 1841994829 |
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Provider Enumeration Date | 03/27/2023 |
Last Update Date | 01/08/2025 |
Certification Date | 01/08/2025 |
Identifier | Type | State | Issuer |
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1841994829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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