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Individual

DR. DIANA MARIE REPKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
BUILDING 9930A WEST JOHNSON ST, TACOMA, WA 98431-1100
(253) 968-5906
Mailing address
9940 JACKSON AVENUE, TACOMA, WA 98431-1100
(253) 968-5906

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY3594
WA
103TF0200X
Forensic Psychologist
Primary
PY3594
WA

Other

Enumeration date
02/14/2009
Last updated
03/11/2024
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