TIMOTHY TIVEY

KELSO, WA
NPI1669868949
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2015-04-13
Last Update Date2015-04-13
Business Address
-- TIMOTHY TIVEY
2381 OSPREY LN
KELSO, WA 98626-5408
Phone number: 360-636-4606
Mailing Address
-- TIMOTHY TIVEY
2381 OSPREY LN
KELSO, WA 98626-5408
Phone number: 360-636-4606
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