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Individual

MS. BROOK AVIDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMHC

Contact information

Practice address
2711 E. MADISON, #210, SEATTLE, WA 98112-4749
(206) 632-6399
Mailing address
2711 E. MADISON, #210, SEATTLE, WA 98112-4749
(206) 632-6399

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH.00005106
WA

Other

Enumeration date
01/19/2012
Last updated
10/03/2012
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