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Individual

MRS. MARISSA CORIE WYNHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPSS

Contact information

Practice address
115 S GOLDEN ST, GOLDENDALE, WA 98620-9123
(509) 773-2419
(509) 973-5921
Mailing address
PO BOX 1228, GOLDENDALE, WA 98620-1228
(509) 773-2419
(509) 973-5921

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PR70077350
WA

Other

Enumeration date
03/04/2026
Last updated
03/04/2026
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