Keria Madow
Counselor in Bellevue, WA(View on Map)
Full Name
Keria Madow
NPI Number
1689131476
NPI Type
Individual Provider
Gender
Female
Enumeration Date
02/27/2019
Specialties
(Taxonomies)Code
101Y00000X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Washington
License Number
LW61508686
Contact
Information
Purpose
Mailing
Location
Address
1412 140TH PL NE
1412 140TH PL NE
City
Bellevue
Bellevue
State
WA
WA
Postal Code
98007-3915
98007-3915
Country
US
US
Telephone Number
N/A
(425) 747-7892
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/28/2024