Individual
MS. IVY KWONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1224B 5TH AVE N, SEATTLE, WA 98109
(310) 702-8874
Mailing address
1250 PINE CREST CIR NE, ISSAQUAH, WA 98029-7469
(310) 702-8874
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
55151
CA
Other
Enumeration date
03/13/2007
Last updated
08/13/2018
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