Individual
DR. VIVIAN L CARRAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
VIVIAN CARRAWAY
Contact information
Practice address
1902 120TH PL SE STE 104, EVERETT, WA 98208-6292
(206) 890-8918
Mailing address
8411 MIDLAND RD, MEDINA, WA 98039-5337
(425) 454-2250
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001493
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302CA
RIDER NUMBER, REGENCE
WA
Enumeration date
11/23/2006
Last updated
07/08/2007
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