Individual
DESEAN GILDYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26612 111TH PL SE, KENT, WA 98030-9033
(206) 817-7947
Mailing address
1019 S OXFORD ST STE 901, TACOMA, WA 98465-1831
(206) 817-7947
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WA
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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