Individual
LESLEY PATRICK KASSICIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
(425) 261-1855
Mailing address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
(425) 261-1855
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
OP60656498
WA
Other
Enumeration date
06/12/2007
Last updated
04/22/2021
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