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Individual

ALLYSE DIRE-DAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
999 164TH AVE NE, BELLEVUE, WA 98008-3518
(425) 747-4937
Mailing address
107 MAIN AVE S APT 204, RENTON, WA 98057-2101
(425) 753-3882

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60833051
WA
05
CP60833051
WA
Enumeration date
10/19/2018
Last updated
10/19/2018
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