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1427571652
CORY DAVID SECRIST
SEATTLE, WA
NPI
1427571652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: WA PY60588923)
Enumeration Date
2017-07-19
Last Update Date
2018-04-03
Business Address
Dr. CORY DAVID SECRIST PhD
1417 NW 54TH ST STE 372
SEATTLE, WA 98107-3575
Phone number: 206-788-7579
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Mailing Address
Dr. CORY DAVID SECRIST PhD
16731 8TH AVE NE
SHORELINE, WA 98155-5013
Phone number: 206-788-7579
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