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Individual

BUDDIE PETREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1618 S LANE ST, SEATTLE, WA 98144-2829
(206) 682-2371
Mailing address
1618 S LANE ST, SEATTLE, WA 98144-2829

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61259891
WA

Other

Enumeration date
02/20/2023
Last updated
02/20/2023
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