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Individual

DR. MICHAEL DAVID BRODEUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1815 NE WILSON RD, PULLMAN, WA 99164-0001
(509) 335-4511
Mailing address
825 PALOUSE VW, PULLMAN, WA 99163-5261
(401) 447-0459

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60297192
WA

Other

Enumeration date
01/11/2013
Last updated
01/11/2013
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