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Individual

MICHELLE KROGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IBCLC, RLC

Contact information

Practice address
16510 191ST AVE NE, WOODINVILLE, WA 98072-9174
(206) 412-1776
Mailing address
16510 191ST AVE NE, WOODINVILLE, WA 98072-9174
(206) 412-1776

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
374J00000X
Doula
WA

Other

Enumeration date
11/06/2012
Last updated
12/23/2014
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