Organization
ABC DYSLEXIA CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALETA L CLARK (OWNER)
(253) 854-9377
Entity
Organization
Contact information
Practice address
1819 CENTRAL AVE S, 122, KENT, WA 98032-7501
(206) 824-4456
Mailing address
1819 CENTRAL AVE S, 122, KENT, WA 98032-7501
(253) 854-9377
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YS0200X
School Counselor
—
—
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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