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Individual

MR. COLBY JAMES REZAYAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW, SUDPT, GMHS

Contact information

Practice address
816 N 15TH ST, MOUNT VERNON, WA 98273-3417
(360) 421-2065
Mailing address
816 N 15TH ST, MOUNT VERNON, WA 98273-3417
(360) 421-2065
(360) 757-0136

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61096339
WA

Other

Enumeration date
07/09/2014
Last updated
11/12/2024
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