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Individual

SHANNON M TAIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16150 NE 85TH ST STE 222B, REDMOND, WA 98052-3546
(425) 202-7802
(425) 821-0313
Mailing address
16150 NE 85TH ST STE 222B, REDMOND, WA 98052-3546
(425) 202-7802
(425) 821-0313

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00052034
WA
106H00000X
Marriage & Family Therapist
Primary
LF60074427
WA

Other

Enumeration date
11/07/2007
Last updated
04/28/2023
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