Provider First Line Business Practice Location Address:
4028 S 146TH ST
Provider Second Line Business Practice Location Address:
SOUND MENTAL HEALTH, B-5
Provider Business Practice Location Address City Name:
TUKWILA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98168-4374
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-697-4492
Provider Business Practice Location Address Fax Number:
206-302-2210
Provider Enumeration Date:
08/28/2009