BRONSON MAKOA LEE

CENTRALIA, WA
NPI1376161273
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2020-07-08
Last Update Date2020-07-08
Business Address
BRONSON MAKOA LEE
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
Mailing Address
BRONSON MAKOA LEE
2428 W REYNOLDS AVE
CENTRALIA, WA 98531
Phone number: 360-330-9044