Individual
BRITA LS SIMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W 4TH AVE, ELLENSBURG, WA 98926-3060
(509) 925-9861
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
(509) 575-4084
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG6015014
WA
Other
Enumeration date
02/09/2009
Last updated
03/14/2011
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