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1285010868
KELLY DRUIN SIEVERTSON, LICSW
EDMONDS, WA
NPI
1285010868
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Entity Type
Organization
Authorized Contact
KELLY SIEVERTSON
Owner
206-486-0295
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: WA LW60229562)
Enumeration Date
2015-08-05
Last Update Date
2015-08-05
Business Address
KELLY DRUIN SIEVERTSON, LICSW
316 MAIN ST SUITE B
EDMONDS, WA 98020-3197
Phone number: 206-486-0295
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Mailing Address
KELLY DRUIN SIEVERTSON, LICSW
316 MAIN ST SUITE B
EDMONDS, WA 98020-3197
Phone number:
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