Individual
JACK W DUTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1210 MADISON ST, ABERDEEN, WA 98520-2838
(360) 537-9103
(360) 532-8891
Mailing address
1210 MADISON ST, ABERDEEN, WA 98520-2838
(360) 537-9103
(360) 532-8891
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00000951
WA
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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