Organization
ANGELA FOSMARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA FOSMARK (OWNER)
(253) 221-7123
Entity
Organization
Contact information
Practice address
31919 1ST AVE S STE 203, FEDERAL WAY, WA 98003-5229
(253) 221-7123
Mailing address
31919 1ST AVE S STE 203, FEDERAL WAY, WA 98003-5229
(253) 221-7123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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