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Individual

DR. GENE MCCONNACHIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
19545 2ND AVE NW, SHORELINE, WA 98177-2506
(206) 546-5992
Mailing address
19545 2ND AVE NW, SHORELINE, WA 98177-2506
(206) 546-5992

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY1806
WA
103TC0700X
Clinical Psychologist
PY00001806
WA

Other

Enumeration date
12/17/2013
Last updated
02/26/2024
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