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Individual

MR. BRYCE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LMHC, LMFT

Contact information

Practice address
5620 112TH ST E, STE. 215, PUYALLUP, WA 98373-3206
(253) 446-7176
Mailing address
5620 112TH ST E, STE. 215, PUYALLUP, WA 98373-3206
(253) 446-7176

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00010388
WA

Other

Enumeration date
11/19/2007
Last updated
06/08/2016
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