Individual
CAROL WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1612 MUD BAY RD, LOPEZ ISLAND, WA 98261-8079
(360) 468-4006
Mailing address
1612 MUD BAY RD, LOPEZ ISLAND, WA 98261-8079
(360) 468-4006
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001454
WA
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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