IDUAR DEREIX CALONGE

TUMWATER, WA
NPI1336829845
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  CG61421303)
Enumeration Date2023-07-19
Last Update Date2023-07-25
Business Address
IDUAR DEREIX CALONGE
6334 LITTLEROCK RD SW
TUMWATER, WA 98512-7332
Phone number: 360-704-7590
Mailing Address
IDUAR DEREIX CALONGE
6334 LITTLEROCK RD SW
TUMWATER, WA 98512-7332
Phone number: 360-704-7590