Individual
MRS. CARRIE THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
23106 100TH AVE W, EDMONDS, WA 98020-5018
(206) 617-6407
Mailing address
23106 100TH AVE W, EDMONDS, WA 98020-5018
(206) 617-6407
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF 60480939
WA
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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