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1477782993
MATTHEW RUSSELL EVICH
MILL CREEK, WA
NPI
1477782993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: WA LH 60080464)
Enumeration Date
2009-07-06
Last Update Date
2009-07-06
Business Address
Mr. MATTHEW RUSSELL EVICH MA; LMHC
16000 BOTHELL EVERETT HWY SUITE 230
MILL CREEK, WA 98012-1742
Phone number: 360-840-1903
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Mailing Address
Mr. MATTHEW RUSSELL EVICH MA; LMHC
1500 A., EAST COLLEGE WAY #428
MT. VERNON, WA 98273
Phone number: 360-840-1903
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