Individual
MS. CASSANDRA WELLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1717 MAPLE VALLEY HWY, RENTON, WA 98057-3900
(206) 775-8600
Mailing address
1717 MAPLE VALLEY HWY, RENTON, WA 98057-3900
(425) 654-0699
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
WA
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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