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1427319052
LISA MARIE GODFREY MARTIN
ELLENSBURG, WA
NPI
1427319052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA PY 60253453)
Enumeration Date
2012-05-30
Last Update Date
2017-12-15
Business Address
-- LISA MARIE GODFREY MARTIN PhD
206 W 1ST AVE
ELLENSBURG, WA 98926-3002
Phone number: 509-201-1616
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Mailing Address
-- LISA MARIE GODFREY MARTIN PhD
PO BOX 1533
ELLENSBURG, WA 98926-1908
Phone number: 509-856-4998
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