Individual
EMILY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 NE 94TH ST, SEATTLE, WA 98115-2752
(206) 461-4580
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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