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SUSAN COOLBAUGH, INC.

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Company Details

Legal Name: SUSAN COOLBAUGH, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 8th 2012
Date of Dissolution: October 2nd 2017
Expiration date: 31 May 2017
UBI Number: 603 205 539
ZIP code: 98499
City: Lakewood
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 6212 75TH ST W, LAKEWOOD, WA, 98499, UNITED STATES

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Registered Agent Information

Name Role Address
SUSAN COOLBAUGH Registered Agent 6212 75TH ST W, LAKEWOOD, WA, 98499-0000, UNITED STATES

Key Officers & Management

Name Role Address
COLIN COOLBAUGH Governing Person 3126 NW 91ST ST, SEATTLE, WA, 98117, UNITED STATES
SUSAN COOLBAUGH Governing Person 6212 75TH ST W, LAKEWOOD, WA, 98499, UNITED STATES
JOHANNA COOLBAUGH Governing Person 3126 NW 91ST ST, SEATTLE, WA, 98117, UNITED STATES

National Provider Identifier

NPI Number:
1902129620

Authorized Person:

Name:
MS. SUSAN FRANCES COOLBAUGH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2539838576
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