Individual
KRISTIN ELIZABETH DEFOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWAICL
Contact information
Practice address
2850 NW BUCKLIN HILL RD # 1036, SILVERDALE, WA 98383-8513
(360) 536-4552
Mailing address
710 W 5TH ST, CHENEY, WA 99004-1307
(360) 640-1142
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61568315
WA
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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