Individual
PHYLLIS KNIGHT BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
11708 MADERA DR SW, LAKEWOOD, WA 98499-1483
(206) 518-0982
Mailing address
11708 MADERA DR SW, LAKEWOOD, WA 98499-1483
(206) 518-0982
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
61387897
WA
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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