Individual
DAVID ISHMAEL BOSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1033 SW 152ND ST, BURIEN, WA 98166-1845
(206) 242-1698
Mailing address
708 6TH AVE S APT E101, KENT, WA 98032-5890
(253) 334-8641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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