Individual
LAURA ANN BRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3214 W MCGRAW ST, SEATTLE, WA 98199-3239
(206) 453-4882
(206) 453-5094
Mailing address
3214 W MCGRAW ST, SEATTLE, WA 98199-3239
(206) 453-4882
(206) 453-5094
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG60667981
WA
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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