Individual
MR. LAWRENCE MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
330 112TH AVE NE, SUITE 302, BELLEVUE, WA 98004-5800
(206) 271-4768
Mailing address
4601 121ST AVE SE, BELLEVUE, WA 98006-2827
(206) 271-4768
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF 00001243
WA
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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