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Individual

JUYEON PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW STUDENT

Contact information

Practice address
2136 M.L.K. JR WAY, TACOMA, WA 98405
(253) 285-0821
Mailing address
5011 N DEFIANCE ST, TACOMA, WA 98407-2131
(206) 519-7311

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61027012
WA

Other

Enumeration date
04/16/2020
Last updated
01/11/2024
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