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Individual

KASANDRA MARIE MCCOWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8308 35TH ST W, UNIVERSITY PLACE, WA 98466-2004
(253) 209-0821
Mailing address
4812 220TH ST E, SPANAWAY, WA 98387-6014
(253) 209-0821

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF61246957
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669663712
WA
Enumeration date
10/25/2018
Last updated
09/10/2024
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