Individual
DENISE MISSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15811 AMBAUM BLVD SW STE 110, BURIEN, WA 98166-3071
(206) 242-8211
Mailing address
4240 S BATEMAN ST, SEATTLE, WA 98118-2714
(206) 307-4753
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LH00008437
WA
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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