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Organization
LITTLE BIRD CHILD & FAMILY THERAPY
Active
Organization
LITTLE BIRD CHILD & FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA R HANAWALT MA LMFT CMHS (OWNER/PROVIDER)
(360) 348-7183
Entity
Organization
Contact information
Practice address
23634 BOTHELL EVERETT HWY, SUITE C, BOTHELL, WA 98021-9322
(360) 348-7183
Mailing address
PO BOX 782, BOTHELL, WA 98041-0782
(360) 348-7183
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60171874
WA
106H00000X
Marriage & Family Therapist
LF60172289
WA
Other
Enumeration date
06/18/2011
Last updated
06/18/2011
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