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Individual

BARRY PAUL ANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
20903 70TH AVE W, EDMONDS, WA 98026-7201
(425) 672-3333
Mailing address
2661 SW MYRTLE ST, SEATTLE, WA 98106-1753
(360) 441-1611

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/25/2011
Last updated
05/25/2011
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