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Individual

MS. ELIZABETH TILLACK MACKEND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LMFT

Contact information

Practice address
2366 EASTLAKE AVE E, AREIS BLDG., STE 216., SEATTLE, WA 98102-3366
(206) 601-2647
Mailing address
28311 NE RONEY RD, DUVALL, WA 98019-8181
(425) 788-0527
(425) 788-0527

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF 60142712
WA

Other

Enumeration date
04/23/2007
Last updated
05/25/2011
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