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Individual

DR. MARC DAVID REDMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
316 MAPLE AVE # B, SNOHOMISH, WA 98290-2526
(206) 380-6142
Mailing address
1429 AVENUE D # 423, SNOHOMISH, WA 98290-1742
(206) 380-6142

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003507
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7139835
WA
01
PY00003507
PROFESSIONAL LICENSE - CLINICAL PSYCHOLOGIST
WA
Enumeration date
07/06/2006
Last updated
05/23/2022
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