Individual
CARLY LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 POPLAR PL S, SEATTLE, WA 98144-2827
(206) 556-6030
(206) 324-4952
Mailing address
851 POPLAR PL S, SEATTLE, WA 98144-2827
(206) 556-6030
(206) 324-4952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
03/30/2021
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