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Individual
MICHAEL DOLEZAL
Active
Individual
MICHAEL DOLEZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY61536516
WA
103TC0700X
Clinical Psychologist
PY61536516
WA
103TR0400X
Rehabilitation Psychologist
Primary
PY61536516
WA
Other
Enumeration date
08/10/2015
Last updated
09/05/2024
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