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Individual

MRS. MARYBELLE ST. DENIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1503 NE 78TH ST, STE 9, VANCOUVER, WA 98665-9668
(360) 573-5500
(360) 573-9075
Mailing address
1503 NE 78TH ST, STE 9, VANCOUVER, WA 98665-9668
(360) 573-5500
(360) 573-9075

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002543
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0157508
DEPT OF LABOR & INDUSTRIE
WA
05
8369050
WA
01
8937724
WA STATE CRIME VICTIMS
WA
Enumeration date
06/16/2005
Last updated
06/07/2013
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