CHILD & ADOLESCENT CLINIC, PS

LONGVIEW, WA
NPI1144275777
Entity TypeOrganization
Authorized ContactPHYLLIS CAVENS
Physician/Owner
360-577-1771
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2006-05-23
Last Update Date2018-07-24
Business Address
CHILD & ADOLESCENT CLINIC, PS
971 11TH AVE
LONGVIEW, WA 98632
Phone number: 360-577-1771
Mailing Address
CHILD & ADOLESCENT CLINIC, PS
971 11TH AVE
LONGVIEW, WA 98632-2503
Phone number: 360-577-1771
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