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Individual

MICHELLE LYNN FLEETWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPC

Contact information

Practice address
3029 WHEATON WAY, BREMERTON, WA 98310-3435
(360) 337-0672
Mailing address
3029 WHEATON WAY, BREMERTON, WA 98310-3435
(360) 337-0672

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary
175T00000X
Peer Specialist
70017149
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CAAR.CG.70017149
CERTIFIED PEER COUNSELOR
WA
Enumeration date
06/26/2025
Last updated
06/26/2025
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