Individual
MS. DEZRYELLE MARIE CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5608 17TH AVE NE # 1063, SEATTLE, WA 98105-2508
(360) 768-4851
Mailing address
5608 17TH AVE NE # 1063, SEATTLE, WA 98105-2508
(360) 768-4851
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
60608697
WA
106H00000X
Marriage & Family Therapist
86685
CA
Other
Enumeration date
08/08/2011
Last updated
10/07/2023
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