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Carli Van Leishout

NPI 1497425748 · on the registry since 2021

Practice

Address
2929 Mcdougall Ave
Enumclaw, WA 98022
Phone
(360) 802-7104
Organisation at this address
Enumclaw School District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington