Individual
MRS. REGAN RAE KAMMA BOLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSWAIC, LSW
Contact information
Practice address
16521 13TH AVE W STE 112, LYNNWOOD, WA 98037-8513
(260) 450-2143
Mailing address
11030 NE 58TH WAY, KIRKLAND, WA 98033-7506
(260) 450-2143
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC61108110
WA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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