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Individual

AMY ROSE KOROTKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
UNDERGRADUATE

Contact information

Practice address
4205 94TH AVE NE, BELLEVUE, WA 98004-1317
(425) 922-3844
Mailing address
4205 94TH AVE NE, BELLEVUE, WA 98004-1317
(425) 922-3844

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/07/2020
Last updated
05/07/2020
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