Individual
ALYSSA ROCHELLE DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4716 125TH AVENUE CT E, EDGEWOOD, WA 98372-9311
(253) 797-6302
Mailing address
4716 125TH AVENUE CT E, EDGEWOOD, WA 98372-9311
(253) 797-6302
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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