KELLEN TAKESHI IMADA

SEATTLE, WA
NPI1154979540
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
Enumeration Date2019-08-28
Last Update Date2021-06-23
Business Address
KELLEN TAKESHI IMADA
5608 17TH AVE NW # 1258
SEATTLE, WA 98107-5232
Phone number: 646-389-6232
Mailing Address
KELLEN TAKESHI IMADA
5608 17TH AVE NW # 1258
SEATTLE, WA 98107-5232
Phone number:
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