Individual
CHARLOTTE DELAUTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E COLLEGE WAY, MOUNT VERNON, WA 98273-5612
(360) 763-5595
Mailing address
1601 E COLLEGE WAY, MOUNT VERNON, WA 98273-5612
(360) 763-5595
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
SC61681547
WA
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041449
—
WA
Enumeration date
06/20/2020
Last updated
12/06/2025
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