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Individual

KONSTANTIN SHEFTELEVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSWAIC

Contact information

Practice address
3501 COLBY AVE STE 105, EVERETT, WA 98201-4795
(425) 789-1073
Mailing address
2900 GRAND AVE APT 401, EVERETT, WA 98201-4893
(401) 523-4111

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1041C0700X
Clinical Social Worker
Primary
SC-60926805
WA

Other

Enumeration date
02/17/2014
Last updated
05/10/2022
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