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Individual

DR. CHARLES MICHAEL REGETS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2411 PACIFIC AVE. SE, OLYMPIA, WA 98501
(360) 357-3532
(360) 754-9358
Mailing address
1846 51ST AVE SE, OLYMPIA, WA 98501-7105
(360) 357-3532

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00001572
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
73081
LABOR AND INDUSTRIES
WA
Enumeration date
05/13/2007
Last updated
10/31/2008
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