Individual
MS. DESIREE DEVA CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 MADISON ST, EVERETT, WA 98203, EVERETT, WA 98203-4543
(425) 212-4200
Mailing address
PO BOX 2569, EVERETT, WA 98213-0569
(425) 212-4200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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