Individual
AYANA CARROLL-CEDERGREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 631-8800
Mailing address
9480 OLSON PL SW, #G, SEATTLE, WA 98106-3138
(206) 369-1224
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
475929F
WA
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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