Individual
MARY LEE WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
225 MARINE DR, SUITE 100, BLAINE, WA 98230-4027
(360) 922-0155
Mailing address
1685 H ST, PMB 1050, BLAINE, WA 98230-5110
(360) 922-0155
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY-202086
ID
103TC0700X
Clinical Psychologist
Primary
TE00003766
WA
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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