Provider First Line Business Practice Location Address:
6000 SOUTHCENTER BLVD STE 30
Provider Second Line Business Practice Location Address:
FARWEST FAMILY SERVICES
Provider Business Practice Location Address City Name:
TUKWILA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98188-2439
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-458-2775
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/09/2008