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Individual

DR. JOLIE CHRISTINE VON SUHR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
9601 STEILACOOM BLVD SW, WESTERN STATE HOSPITAL, TACOMA, WA 98498-7213
(253) 761-7541
Mailing address
9601 STEILACOOM BLVD SW, WESTERN STATE HOSPITAL, TACOMA, WA 98498-7213
(253) 761-7541

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00003431
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20005200
EMPLOYEE ID NUMBER
WA
Enumeration date
12/04/2006
Last updated
07/08/2007
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