GLEN BENJAMIN PADDOCK

UNIVERSITY PLACE, WA
NPI1447580857
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: WA  LF00001755)
Enumeration Date2010-01-07
Last Update Date2010-01-07
Business Address
GLEN BENJAMIN PADDOCK PHD
4007 BRIDGEPORT WAY W SUITE F2
UNIVERSITY PLACE, WA 98466-4330
Phone number: 253-565-2208
Mailing Address
GLEN BENJAMIN PADDOCK PHD
16513 133RD PL SE
RENTON, WA 98058-6968
Phone number: 206-619-7734