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Individual

BRUCE L NORDHAUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MED

Contact information

Practice address
20903 70TH AVE W, EDMONDS, WA 98026-7201
(425) 672-3333
(425) 712-0539
Mailing address
PO BOX 3810, COMPASS HEALTH, EVERETT, WA 98213

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60274944
WA

Other

Enumeration date
03/16/2012
Last updated
03/16/2012
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