Individual
HOLLY MAUPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 S 2ND ST, MOUNT VERNON, WA 98273-4209
(360) 419-3588
Mailing address
PO BOX 3810, M/S 11, EVERETT, WA 98213-8810
(425) 349-8359
(425) 349-8348
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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