Individual
MAYTAL GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
15455 65TH AVE S, TUKWILA, WA 98188-2534
(206) 721-5170
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9431
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
07/29/2015
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