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1790238814
SAMUEL B RENNEBOHM
SEATTLE, WA
NPI
1790238814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA PY61016748)
Enumeration Date
2016-07-25
Last Update Date
2020-09-30
Business Address
SAMUEL B RENNEBOHM PhD
1401 MADISON ST STE 100
SEATTLE, WA 98104-1316
Phone number: 206-386-6111
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Mailing Address
SAMUEL B RENNEBOHM PhD
PO BOX 25608
SALT LAKE CITY, UT 84125-0608
Phone number: 206-320-4476
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