Individual
JESSICA KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 BROADWAY STE 170, SEATTLE, WA 98122-5332
(206) 901-2000
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SC61433318
WA
Other
Enumeration date
10/23/2015
Last updated
08/28/2023
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