Individual
CARLI N WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8211 NE 163RD PL, KENMORE, WA 98028-1601
(425) 444-9809
Mailing address
8211 NE 163RD PL, KENMORE, WA 98028-1601
(425) 444-9809
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFTC.0014503
CO
106H00000X
Marriage & Family Therapist
Primary
MG61486101
WA
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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