Individual
MR. LANCE EDWARDS PERSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
2212 1ST AVE, KASOTA APARTMENTS, SUITE 200, SEATTLE, WA 98121-1615
(206) 728-0953
Mailing address
1600 E OLIVE ST, SOUND MENTAL HEALTH, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CO60166175
WA
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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