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Individual

TERRA L REA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD, PLLC

Contact information

Practice address
1106 COLUMBIA AVE, STE 100, MARYSVILLE, WA 98270-4311
(360) 653-0374
(360) 658-0219
Mailing address
1106 COLUMBIA AVE, STE 100, MARYSVILLE, WA 98270-4311
(360) 653-0374
(360) 658-0219

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60110632
WA

Other

Enumeration date
09/18/2009
Last updated
07/25/2014
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