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Gwyneth Leeanne Soboleff
Mental Health Counselor in Shelton, Washington
NPI 1972021384

Gwyneth Leeanne Soboleff is a Mental Health Counselor based in Olympia, WA and is specialized in Mental Health. Gwyneth Leeanne Soboleff practices in Shelton, WA. The NPI Number for Gwyneth Leeanne Soboleff is 1972021384 and holds a License No. (Washington).

The current practice location address for Gwyneth Leeanne Soboleff is 110 W K St, Shelton, WA and can be reached out via phone at 360-704-7170.

Location: 110 W K St, Shelton, WA, 98506-5268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972021384
Provider Name
Gwyneth Leeanne Soboleff
Credential
Provider Entity Type
Individual
Gender
Female
Address
110 W K St, Shelton, WA, 98506-5268
Phone Number
360-704-7170
Fax Number
Provider Enumeration Date
09/06/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100567 05 WA
institution
Provider Business Practice Location Address Details
Address
110 W K St
City
Shelton
State
Washington
Zip
98584-2944
Phone Number
360-704-7170
Fax Number
person
Provider Business Mailing Address Details
Address
110 W K St
City
Shelton
State
Washington
Zip
98584-2944
Phone Number
360-704-7170
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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