Organization
KIMBERLY D. GLACE-KRAUSE
Active
Other names
Kim Krause
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY DENEE GLACE-KRAUSE MHCA (COUNSELOR)
(913) 568-9091
Entity
Organization
Contact information
Practice address
1537 PRIMROSE CT, LYNDEN, WA 98264-9353
(913) 568-9091
Mailing address
1537 PRIMROSE CT, LYNDEN, WA 98264-9353
(913) 568-9091
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
MC 60509093
WA
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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