Individual
MICHAEL W TEBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LFMT
Contact information
Practice address
555 PACIFIC AVE, BREMERTON, WA 98337-1903
(360) 782-1700
(360) 782-1701
Mailing address
555 PACIFIC AVE, BREMERTON, WA 98337-1903
(360) 782-1700
(360) 782-1701
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001122
WA
Other
Enumeration date
09/19/2007
Last updated
11/22/2011
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