Individual
DR. JULIA L CARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1318 W IVY AVE, MOSES LAKE, WA 98837-2065
(509) 766-2670
Mailing address
1216A W MALAGA AVE, MOSES LAKE, WA 98837-1451
(509) 434-4834
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60482901
WA
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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