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1447666532
COLBY JAMES REZAYAT
MOUNT VERNON, WA
NPI
1447666532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW61096339)
Enumeration Date
2014-07-09
Last Update Date
2024-11-12
Business Address
Mr. COLBY JAMES REZAYAT LICSW, SUDPT, GMHS
816 N 15TH ST
MOUNT VERNON, WA 98273-3417
Phone number: 360-421-2065
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Mailing Address
Mr. COLBY JAMES REZAYAT LICSW, SUDPT, GMHS
816 N 15TH ST
MOUNT VERNON, WA 98273-3417
Phone number: 360-421-2065
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