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ERIKA BRONSTEIN, M.S.W., P.S.

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Company Details

Legal Name: ERIKA BRONSTEIN, M.S.W., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: December 10th 2002
Date of Dissolution: May 1st 2017
Expiration date: 31 Dec 2016
UBI Number: 602 254 771

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Registered Agent Information

Name Role Address
ERIKA BRONSTEIN Registered Agent 20 ORCHID CT, BELLINGHAM, WA, 98229-2775, UNITED STATES

Key Officers & Management

Name Role Address
ERIKA BRONSTEIN Governing Person 1715 C STREET, BELLINGHAM, WA, 98225, UNITED STATES

National Provider Identifier

NPI Number:
1154671618

Authorized Person:

Name:
TONI LADNER
Role:
BOOKKEEPER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Fax:
3606762754
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