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1114795226
DEREK WILLIAM MARTIN
EVERETT, WA
NPI
1114795226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2023-12-18
Last Update Date
2023-12-18
Business Address
DEREK WILLIAM MARTIN HS: Psych Tech
4526 FEDERAL AVE
EVERETT, WA 98203-2132
Phone number: 425-349-6100
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Mailing Address
DEREK WILLIAM MARTIN HS: Psych Tech
4526 FEDERAL AVE
EVERETT, WA 98203-2132
Phone number: 425-349-6200
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