Individual
MACY MARIE KARLSVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 COMMERCIAL ST, RAYMOND, WA 98577-2631
(360) 942-2474
Mailing address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61598017
WA
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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