Individual
JEFFERY HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 AUBURN AVE, AUBURN, WA 98002-5057
(253) 735-0166
(253) 833-8987
Mailing address
955 POWELL AVE SW, SUITE A, RENTON, WA 98055-2908
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PY00003360
WA
Other
Enumeration date
07/22/2005
Last updated
07/08/2007
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