Individual
JENNA FLAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
8115 134TH ST SE, SNOHOMISH, WA 98296-5939
(954) 732-4233
Mailing address
8115 134TH ST SE, SNOHOMISH, WA 98296-5939
(954) 732-4233
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 60196507
WA
Other
Enumeration date
04/14/2011
Last updated
04/29/2011
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