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Individual

MR. TIMOTHY SETH STUDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
15455 65TH AVE S, TUKWILA, WA 98188-2534
(206) 707-5696
(206) 721-6288
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 575-8275
(360) 575-1950

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF 60172683
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1980994
WA
Enumeration date
09/24/2008
Last updated
10/31/2012
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