Individual
KHADIJAH TOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5802 RAINIER AVE S, SEATTLE, WA 98118-2706
(206) 723-1980
Mailing address
5802 RAINIER AVE S, SEATTLE, WA 98118-2706
(206) 723-1980
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
60255081
WA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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