NPI | 1356652044 |
---|---|
Doing Business As | SENIOR CONNECTIONS |
Entity Type | Organization |
Authorized Contact | DAVID W AGNOR Executive Director 360-901-8990 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00001983) |
Enumeration Date | 2010-06-28 |
Last Update Date | 2010-06-28 |