NPI | 1972730042 |
---|---|
Doing Business As | SENIOR CONNECTIONS |
Entity Type | Organization |
Authorized Contact | DAVID W AGNOR Executive Director 360-253-4912 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA py00001983) |
Enumeration Date | 2009-06-16 |
Last Update Date | 2009-06-17 |