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Individual

MS. MYLAM T. THAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-6847
(206) 695-7600
Mailing address
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-6847
(206) 695-7600
(206) 695-7606

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005829
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2111365
WA
Enumeration date
01/25/2008
Last updated
11/15/2018
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