Individual
ALISA KOYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17701 11TH AVE NE, SHORELINE, WA 98155-3712
(415) 310-1461
Mailing address
17701 11TH AVE NE, SHORELINE, WA 98155-3712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20380
OK
1041C0700X
Clinical Social Worker
LW61131874
WA
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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