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Individual

MS. KAREN D CANIDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDP

Contact information

Practice address
3810 196TH ST SW, LYNNWOOD, WA 98036-5746
(425) 248-4900
Mailing address
1600 121ST ST SE APT V101, EVERETT, WA 98208-7903
(425) 501-7177

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00003268
WA

Other

Enumeration date
06/29/2016
Last updated
06/29/2016
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