Individual
MS. COREY COLWELL-LIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC
Contact information
Practice address
3707 PROVIDENCE POINT DR SE, SUITE G (LAKESIDE FAMILY PHYSICIANS), ISSAQUAH, WA 98029-6216
(206) 818-7591
Mailing address
1768 W BEAVER LAKE DR SE, SAMMAMISH, WA 98075-8017
(206) 818-7591
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
00-062
NC
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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