Individual
MR. BRANDON TYLER SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
232 2ND AVE S STE 201, KENT, WA 98032-5862
(253) 859-0300
Mailing address
4550 38TH AVE SW APT 138, SEATTLE, WA 98126-2770
(559) 280-1728
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/04/2017
Last updated
06/04/2017
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