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Individual

GORDON JOHN RETTERATH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 966-3650
Mailing address
7719 RAINIER RD SE, OLYMPIA, WA 98513-5419
(360) 923-1787

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00007863
WA

Other

Enumeration date
10/05/2006
Last updated
02/21/2019
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