Organization
THEODORE MAUSSHARDT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE R MAUSSHARDT (OWNER)
(425) 736-6075
Entity
Organization
Contact information
Practice address
2722 COLBY AVE, #402, EVERETT, WA 98201-3557
(425) 736-6075
(425) 252-4308
Mailing address
2722 COLBY AVE, #402, EVERETT, WA 98201-3557
(425) 736-6075
(425) 252-4308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
FC00000188
WA
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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