Individual
KORLETTE KARMELL BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 12TH AVE S, SEATTLE, WA 98144-2007
(206) 324-9360
Mailing address
611 12TH AVE S, SEATTLE, WA 98144-2007
(206) 324-9360
(206) 834-4091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60806762
WA
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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