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Individual

MR. JOHN SUTTON-GAMACHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
5837 221ST PL SE, ISSAQUAH, WA 98027-8917
(425) 391-0887
(425) 391-7014
Mailing address
5837 221ST PL SE, ISSAQUAH, WA 98027-8917
(425) 391-0887
(425) 391-7014

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
AA02881
AK
103TC0700X
Clinical Psychologist
Primary
PY0001271
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PS02881
AK
Enumeration date
01/09/2007
Last updated
05/10/2008
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