COPESTONE PSYCHIATRIC, LLC

KIRKLAND, WA
NPI1609477538
Entity TypeOrganization
Authorized ContactWARREN SHADKO
Owner
828-393-9025
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2020-11-06
Last Update Date2020-11-06
Business Address
COPESTONE PSYCHIATRIC, LLC
11335 NE 122ND WAY STE 105
KIRKLAND, WA 98034-6933
Phone number: 828-393-9025
Mailing Address
COPESTONE PSYCHIATRIC, LLC
224 THOMPSON ST PMB 218
HENDERSONVILLE, NC 28792-2806
Phone number: 828-393-9025
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