Organization
SUSAN COOLBAUGH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN FRANCES COOLBAUGH ARNP (PRESIDENT)
(253) 983-8507
Entity
Organization
Contact information
Practice address
6212 75TH ST W, LAKEWOOD, WA 98499-8368
(253) 983-8507
(253) 983-8576
Mailing address
6212 75TH ST W, LAKEWOOD, WA 98499-8368
(253) 983-8507
(253) 983-8576
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
AP30004202
WA
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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