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Organization
GREATER LAKES MENTAL HEALTHCARE
Active
Organization
GREATER LAKES MENTAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYUMI MATSUNO (CASE MANAGER)
(253) 620-5033
Entity
Organization
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5033
Mailing address
1221 S 238TH LN # 603, DES MOINES, WA 98198-5407
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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