Individual
MISS SOLONGO KLAWITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
9100 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-2427
(253) 439-9997
Mailing address
9100 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-2427
(253) 439-9997
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60708045
WA
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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