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Individual

DR. JAY R SKIDMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2230 RUCKER AVE STE 100, EVERETT, WA 98201-2772
(206) 200-4357
Mailing address
15121 62ND AVE W, EDMONDS, WA 98026-4105

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002488
WA

Other

Enumeration date
04/22/2016
Last updated
04/22/2016
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