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Organization
PUGET SOUND SENIOR PSYCHOLOGY, LLC
Active
Organization
PUGET SOUND SENIOR PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID AGNOR PHD (EXECUTIVE DIRECTOR)
(360) 253-4912
Entity
Organization
Contact information
Practice address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(360) 253-4912
(360) 253-5170
Mailing address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(360) 253-4912
(360) 253-5170
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
PY1511
WA
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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