Organization
FOR HOPE - DORY BRONGER, LICSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORY ROSE BRONGER LICSW (OWNER/MANAGER)
(206) 779-9460
Entity
Organization
Contact information
Practice address
33507 9TH AVE S, STE. C-2, FEDERAL WAY, WA 98003-6397
(253) 363-9076
Mailing address
1405 SW 296TH ST, FEDERAL WAY, WA 98023-3411
(206) 779-9460
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
LW00009554
WA
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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