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Individual

ELL DAVID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
610 YAKIMA AVE, TACOMA, WA 98405-4851
(253) 396-5246
Mailing address
4020 E C ST, TACOMA, WA 98404-1441

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
WA

Other

Enumeration date
01/09/2019
Last updated
01/09/2019
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