Lilla King

NPI #1750762688 in Tumwater, Washington

Provider Information

NPI Number: 1750762688
Entity Type: Individual
Name: Lilla King
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 16, 2015
Last Updated: Jun 16, 2015

Practice Location

Address: 1892 BRITTANY LN SW
Address 2: APARTMENT 2314
City: Tumwater
State: Washington
ZIP Code: 98512-0487
Phone: (360) 528-0638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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