Individual
DEBORAH DINEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 X ST SE, TUMWATER, WA 98501-5208
(360) 280-1459
Mailing address
230 X ST SE, TUMWATER, WA 98501-5208
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1619068624
—
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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