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Individual

ELIZABETH ANN BRENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
1701 121ST ST SE APT B204, EVERETT, WA 98208-5974
(425) 232-2152

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
WA

Other

Enumeration date
09/22/2017
Last updated
09/22/2017
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