Individual
MRS. EMMA L KUBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., NCSP
Contact information
Practice address
1775 S COLLEGE AVE, COLLEGE PLACE, WA 99324-1771
(509) 529-5207
(509) 525-3741
Mailing address
1775 S COLLEGE AVE, COLLEGE PLACE, WA 99324-1771
(509) 529-5207
(509) 525-3741
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
457453R
WA
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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