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Dennis Corum, LMP
NPI 1598962938 · on the registry since 2007 · sole proprietor
Practice
- Address
- 22617 76th Ave W
Suite # 104
Edmonds, WA 98026 - Phone
- (425) 778-8050
- Fax
- (425) 778-2757
- Organisation at this address
- A Kind Heart Inc
A New Spirit Recovery Program IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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