Individual
CEPHUS CHILDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
409 CUSTER WAY SE, STE D, TUMWATER, WA 98501-3350
(360) 570-8258
(360) 570-1171
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60196684
WA
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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