Organization
MOSIAC CHILDREN'S THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA DUFFIELD MA, CCC-SLP, B.SC.ED (OWNER/PRESIDENT)
(425) 644-6325
Entity
Organization
Contact information
Practice address
13010 NE 20TH ST STE 300, BELLEVUE, WA 98005-2054
(425) 644-6325
Mailing address
13010 NE 20TH ST STE 300, BELLEVUE, WA 98005-2054
(425) 644-6325
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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