Individual
BROOKE RIVER ELIZABETH WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
Mailing address
12501 4TH AVE W APT 9104, EVERETT, WA 98204-6419
(425) 686-5013
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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