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1659765816
EASTSIDE SOCIAL SKILLS THERAPY LLC
ISSAQUAH, WA
NPI
1659765816
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Entity Type
Organization
Authorized Contact
PENNY J LATHUM
Owner
206-380-3009
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2015-03-26
Last Update Date
2015-03-26
Business Address
EASTSIDE SOCIAL SKILLS THERAPY LLC
5436 232ND AVE SE
ISSAQUAH, WA 98029
Phone number: 206-380-3009
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Mailing Address
EASTSIDE SOCIAL SKILLS THERAPY LLC
5436 232ND AVE SE
ISSAQUAH, WA 98029
Phone number:
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