Individual
SARAH LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9720 S TACOMA WAY, LAKEWOOD, WA 98499-4456
(253) 503-3666
Mailing address
1415 LUMSDEN RD, PORT ORCHARD, WA 98367-9179
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60961325
WA
Other
Enumeration date
07/25/2019
Last updated
01/11/2021
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