Individual
MRS. RICK SAMUEL BIALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CDP
Contact information
Practice address
9095 MCCONNELL AVE NW, SILVERDALE, WA 98383-8392
(360) 698-7267
(360) 698-5967
Mailing address
20174 FRONT ST NE, POULSBO, WA 98370-7445
(360) 697-7721
(360) 697-7737
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
18047501
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991124
—
WA
Enumeration date
05/17/2007
Last updated
07/08/2007
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