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Individual

SHAWNA LYNN MOKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDP

Contact information

Practice address
841 CENTRAL AVE N STE 215, KENT, WA 98032-2014
(800) 858-6702
(425) 671-6198
Mailing address
841 CENTRAL AVE N STE 215, KENT, WA 98032-2014
(425) 429-3004
(425) 671-6198

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60956720
WA

Other

Enumeration date
10/22/2020
Last updated
10/22/2020
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