Individual
LELAND KUYKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 S 2ND ST STE 2, RENTON, WA 98057-2234
(425) 203-7215
Mailing address
419 S 2ND ST STE 2, RENTON, WA 98057-2234
(425) 203-7215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW 00004579
WA
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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