Individual
CHARRAE ROSE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.C
Contact information
Practice address
815 S PEARL ST, TACOMA, WA 98465-2117
(253) 396-5937
Mailing address
815 S PEARL ST, TACOMA, WA 98465-2117
(253) 396-5937
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60561697
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
01/07/2016
Last updated
01/07/2016
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