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1881729002
LOREN WILBURN MCCOLLOM
TACOMA, WA
NPI
1881729002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: WA PY00001610)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Dr. LOREN WILBURN MCCOLLOM Ph.D.
610 112TH ST E
TACOMA, WA 98445-3002
Phone number: 253-537-2574
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Mailing Address
Dr. LOREN WILBURN MCCOLLOM Ph.D.
610 112TH ST E
TACOMA, WA 98445-3002
Phone number: 253-537-2574
Copy
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