Provider First Line Business Practice Location Address:
33305 1ST WAY SOUTH - SUITE B-203
Provider Second Line Business Practice Location Address:
THE CENTER FOR FAMILY AND LIFESPAN DEVELOPMENT
Provider Business Practice Location Address City Name:
FEDERAL WAY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-235-5956
Provider Business Practice Location Address Fax Number:
253-235-5957
Provider Enumeration Date:
09/17/2012