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Individual

CLEMENS DE KOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1600 E OLIVE ST, #100, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210
Mailing address
1600 E OLIVE ST, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60611121
WA

Other

Enumeration date
10/19/2015
Last updated
12/27/2016
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