Individual
GRACE EUGENE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14510 NE 20TH ST, #203, BELLEVUE, WA 98007-3715
(206) 218-9067
Mailing address
8530 5TH AVE W, APT #A302, EVERETT, WA 98204-7673
(253) 905-3393
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/22/2016
Last updated
12/23/2016
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