Individual
MRS. DANNIELLE CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5410 N 44TH ST, TACOMA, WA 98407
(253) 759-9544
Mailing address
13102 106TH AVENUE CT E, PUYALLUP, WA 98374-3013
(360) 485-6181
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/24/2014
Last updated
01/18/2019
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