Individual
MISS EVELYNE I FREDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
11430 NE 116TH PL, KIRKLAND, WA 98034-7119
(425) 576-0694
Mailing address
11430 NE 116TH PL, KIRKLAND, WA 98034-4658
(425) 576-0694
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00053752
WA
Other
Enumeration date
08/26/2006
Last updated
02/20/2008
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