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Individual

CHARLOTTE MALKMUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMHC

Contact information

Practice address
1601 16TH AVE, SEATTLE, WA 98122-4011
(206) 461-3240
(206) 461-3696
Mailing address
1601 16TH AVE, SEATTLE, WA 98122-4011
(206) 461-3240
(206) 461-3696

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004229-1
NY
101YM0800X
Mental Health Counselor
Primary
LH60225428
WA

Other

Enumeration date
09/20/2011
Last updated
09/20/2011
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