Individual
JOSHUA IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(510) 337-7950
Mailing address
313 THYME AVE, SHELTON, WA 98584-6215
(408) 518-1690
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/09/2019
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