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Organization
SUSAN POOLE, PHD, PLLC
Active
Organization
SUSAN POOLE, PHD, PLLC
Active
Other names
Sage Spark Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN JANETTE POOLE PHD (PSYCHOLOGIST)
(253) 254-5232
Entity
Organization
Contact information
Practice address
3213 N 31ST ST, TACOMA, WA 98407-5901
(253) 254-5232
Mailing address
3213 N 31ST ST, TACOMA, WA 98407-5901
(253) 254-5232
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
04/21/2022
Last updated
11/09/2022
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