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Individual

DIANE GROODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3645 E MCLEOD RD, BELLINGHAM, WA 98226-8700
(360) 676-2220
Mailing address
PO BOX 3810, EVERETT, WA 98213-8810

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW-00009409
WA

Other

Enumeration date
08/10/2016
Last updated
08/10/2016
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