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Individual

GRACE CLAIRE MATHIESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11603 STATE AVE STE G, MARYSVILLE, WA 98271-8465
(425) 316-5062
(425) 259-8600
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(425) 316-5062
(425) 259-8600

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SC60754947
WA
1041C0700X
Clinical Social Worker
Primary
LW61165345
WA

Other

Enumeration date
03/04/2021
Last updated
11/06/2021
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