Individual
BJORN DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21112 SE 278TH PL, MAPLE VALLEY, WA 98038-3114
(425) 494-9163
Mailing address
21112 SE 278TH PL, MAPLE VALLEY, WA 98038-3114
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW60940272
WA
Other
Enumeration date
12/16/2015
Last updated
05/08/2024
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