Individual
DANIEL PEARSON SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAC
Contact information
Practice address
2120 S PLUM ST STE A, SEATTLE, WA 98144-4539
(206) 441-3043
Mailing address
222 WALL ST STE 100, SEATTLE, WA 98121-1431
(206) 441-3329
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG61108667
WA
Other
Enumeration date
09/09/2021
Last updated
01/27/2022
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