Individual
MR. BRUCE WILLIAM PERHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
5100 S DAWSON ST STE 103, SEATTLE, WA 98118-2100
(206) 973-6152
Mailing address
5100 S DAWSON ST STE 103, SEATTLE, WA 98118-2100
(206) 973-6152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SWI.LW.60765129
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SWI.LW.60765129
STATE OF WASHINGTON
WA
Enumeration date
10/02/2017
Last updated
10/02/2017
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