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1447580857
GLEN BENJAMIN PADDOCK
UNIVERSITY PLACE, WA
NPI
1447580857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: WA LF00001755)
Enumeration Date
2010-01-07
Last Update Date
2010-01-07
Business Address
GLEN BENJAMIN PADDOCK PHD
4007 BRIDGEPORT WAY W SUITE F2
UNIVERSITY PLACE, WA 98466-4330
Phone number: 253-565-2208
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Mailing Address
GLEN BENJAMIN PADDOCK PHD
16513 133RD PL SE
RENTON, WA 98058-6968
Phone number: 206-619-7734
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