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Individual

BRUCE HINSDALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LW

Contact information

Practice address
232 2ND AVE S STE 201, KENT, WA 98032-5862
(253) 859-0300
(253) 859-0745
Mailing address
232 2ND AVE S STE 201, KENT, WA 98032-5862
(253) 859-0300
(253) 859-0745

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00005814
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1029HI
REGENCE
WA
Enumeration date
10/16/2007
Last updated
10/16/2007
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