Individual
BERNADET DEJONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 MADISON ST, EVERETT, WA 98203-4543
(425) 212-4200
(425) 212-4297
Mailing address
PO BOX 2569, EVERETT, WA 98213-0569
(425) 212-4200
(424) 212-4297
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC 60576294
WA
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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