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13752 28th Ave Ne #5 Seattle WA 98125-3504 | |
(206) 295-6258 | |
(206) 362-3835 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 13752 28th Ave Ne, Seattle, Washington |
Authorized Official Name and Position | Joel Oduro Jr. (PRESIDENT) |
Authorized Official Contact | 2062956258 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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13752 28th Ave Ne #5 Seattle WA 98125-3504 Ph: (206) 295-6258 | 13752 28th Ave Ne #5 Seattle WA 98125-3504 Ph: (206) 295-6258 |
NPI Number | 1043601651 |
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Provider Enumeration Date | 02/18/2015 |
Last Update Date | 02/18/2015 |
Identifier | Type | State | Issuer |
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1043601651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | PH00014306 (Washington) | Primary |
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