Individual
ROSE ANN MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
934 S GARFIELD RD, AIRWAY HEIGHTS, WA 99001-9030
(509) 789-7630
(509) 445-0646
Mailing address
PO BOX 67, USK, WA 99180-0067
(509) 789-7630
(509) 445-0646
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
CP60076419
WA
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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