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1043293855
LANE VAN DER SLUIS
VANCOUVER, WA
NPI
1043293855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA PY00001784)
Enumeration Date
2005-11-25
Last Update Date
2007-07-08
Business Address
Dr. LANE VAN DER SLUIS Psy D
2904 MAIN ST
VANCOUVER, WA 98663-2722
Phone number: 360-695-8332
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Mailing Address
Dr. LANE VAN DER SLUIS Psy D
PO BOX 213
LA CENTER, WA 98629-0213
Phone number: 360-695-8332
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