SearchWashington174400000X

Emma Kubrock, M.S., NCSP

NPI 1659621126 · on the registry since 2012

Practice

Address
1775 S College Ave
College Place, WA 99324
Phone
(509) 529-5207
Fax
(509) 525-3741

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-09-12

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