Individual
SHARON ANNE MISSIAEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3326 E BADGER RD, EVERSON, WA 98247-9232
(360) 988-4754
(360) 988-8983
Mailing address
3326 E BADGER RD, EVERSON, WA 98247-9232
(360) 988-4754
(360) 988-8983
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
373272D
WA
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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