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Individual

CHARITY FAITH LEANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11426 SE 230TH PL, KENT, WA 98031-3463
(206) 420-9699
Mailing address
11426 SE 230TH PL, KENT, WA 98031-3463
(206) 420-9699

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60251906
WA

Other

Enumeration date
08/23/2018
Last updated
08/23/2018
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