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Individual

MR. DELTON LIONEL MOSBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, MPH, CDP

Contact information

Practice address
1901 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-4801
(206) 322-7676
(206) 725-7585
Mailing address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 726-4100
(206) 328-3757

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP0006102
WA
101YM0800X
Mental Health Counselor
WA

Other

Enumeration date
04/06/2012
Last updated
06/14/2012
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