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Individual

MRS. MISTY APRIL ROBINSON DECLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., L.M.F.T

Contact information

Practice address
343 15TH AVE, KIRKLAND, WA 98033-5508
(425) 803-0907
Mailing address
8321 NE 120TH PL, KIRKLAND, WA 98034-5824
(425) 820-6124

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001939
WA

Other

Enumeration date
03/13/2007
Last updated
04/15/2012
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