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Individual

PAULINA A. KISSELEV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1711 12TH AVE, SEATTLE, WA 98122-2435
(206) 226-2715
Mailing address
1711 12TH AVE, SEATTLE, WA 98122-2435
(206) 226-2715

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00003944
WA
103TC0700X
Clinical Psychologist
00003944
WA

Other

Enumeration date
12/02/2008
Last updated
12/02/2008
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