Individual
KATHLEEN BLAIR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFTA
Contact information
Practice address
1033 SW 152ND ST, BURIEN, WA 98166-1845
(206) 779-0373
Mailing address
1033 SW 152ND ST, BURIEN, WA 98166-1845
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
60790663
WA
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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