Individual
MR. MAURY DOUTHIT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16401 SE 24TH ST, BELLEVUE, WA 98008-5432
(425) 456-5933
Mailing address
16401 SE 24TH ST, BELLEVUE, WA 98008-5432
(425) 456-5933
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
364157H
WA
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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