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NPI Code Detail

MEDICARE: MR. CAMERON PAUL DEWAR MA, LMFT

MEDICARE: MR. CAMERON PAUL DEWAR MA, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLF60034508WA

General Provider Information

NPI Number : 1417006966
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CAMERON PAUL DEWAR MA, LMFT
Provider Business Mailing Address
First Line : 6407 FAUNTLEROY WAY SW
Second Line :
City : SEATTLE
State : WA
Zip : 98136-1820
Country : US
Telephone Number : 206-456-6636
Fax Number :
Provider Business Practice Location Address
First Line : 6407 FAUNTLEROY WAY SW
Second Line :
City : SEATTLE
State : WA
Zip : 98136-1820
Country : US
Telephone Number : 206-456-6636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 12/22/2011

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