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Individual

DAVID BRADLEY DEWINE

Active
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Individual

DAVID BRADLEY DEWINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY 60073200
WA
103TC1900X
Counseling Psychologist
PY 60073200
WA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY 60073200
WA
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TF0000X
Family Psychologist
PY 60073200
WA

Other

Enumeration date
07/09/2009
Last updated
11/10/2014
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