Individual
MARIAH DE VOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 DEXTER AVE N STE 100, SEATTLE, WA 98109-3598
(855) 832-6727
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
106S00000X
WA
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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