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1184134314
COLLEEN RUSTAD
TACOMA, WA
NPI
1184134314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA PY60820191)
Enumeration Date
2017-10-02
Last Update Date
2018-08-29
Business Address
COLLEEN RUSTAD PhD
3224 6TH AVE
TACOMA, WA 98406-5902
Phone number: 253-579-8278
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Mailing Address
COLLEEN RUSTAD PhD
3516 ROSS AVE
GIG HARBOR, WA 98332-2105
Phone number: 602-509-5660
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