Individual
CARON MACLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
21743 125TH PL SE, KENT, WA 98031-2380
(253) 638-8572
Mailing address
21743 125TH PL SE, KENT, WA 98031-2380
(253) 638-8572
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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