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1508809849
TED VIDAN
FEDERAL WAY, WA
NPI
1508809849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: WA LF00002345)
Enumeration Date
2006-06-14
Last Update Date
2007-10-18
Business Address
TED VIDAN LMFT
29633 MARINE VIEW DR SW
FEDERAL WAY, WA 98023-3400
Phone number: 253-945-1004
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Mailing Address
TED VIDAN LMFT
29633 MARINE VIEW DR SW
FEDERAL WAY, WA 98023-3400
Phone number: 253-945-1004
Copy
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