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1013327055
TY W LOSTUTTER
SEATTLE, WA
NPI
1013327055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA PY 60238397)
Enumeration Date
2014-04-29
Last Update Date
2014-04-29
Business Address
-- TY W LOSTUTTER Ph.D.
4225 ROOSEVELT WAY NE
SEATTLE, WA 98105-6099
Phone number: 206-598-7792
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Mailing Address
-- TY W LOSTUTTER Ph.D.
4225 ROOSEVELT WAY NE
SEATTLE, WA 98105-6099
Phone number: 206-598-7792
Copy
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