Individual
LACHIN VEISALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6788 ANTHEM ST E, FIFE, WA 98424-3804
(206) 397-6915
Mailing address
6788 ANTHEM ST E, FIFE, WA 98424-3804
(206) 397-6915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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