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Individual

EMILY GROOMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMFTA, CDPT

Contact information

Practice address
406 MAIN ST STE 115C, EDMONDS, WA 98020
(425) 616-3009
Mailing address
406 MAIN ST STE 115C, EDMONDS, WA 98020-3166
(425) 616-3009

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60778998
WA
106H00000X
Marriage & Family Therapist
Primary
MG60903057
WA

Other

Enumeration date
05/11/2017
Last updated
01/18/2019
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