Individual
NICOLE R R JOSEPHSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1700 NW GILMAN BLVD STE 205, ISSAQUAH, WA 98027-5349
(425) 463-5047
(186) 658-6074
Mailing address
1700 NW GILMAN BLVD STE 205, ISSAQUAH, WA 98027-5349
(425) 463-5047
(186) 658-6074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
RC 00054581
WA
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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