Individual
SOCORRO FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21727 76TH AVE W STE J, EDMONDS, WA 98026-7545
(206) 631-8812
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(323) 945-5323
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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