Individual
MEKENZIE YOKO MADOKORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
3560 BRIDGEPORT WAY W STE 2C, UNIVERSITY PLACE, WA 98466-4446
(253) 460-7248
Mailing address
3560 BRIDGEPORT WAY W STE 2C, UNIVERSITY PLACE, WA 98466-4446
(253) 460-7248
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG61590148
WA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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