Individual
ELISSA KOULDUKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6505 218TH ST SW STE 12, MOUNTLAKE TERRACE, WA 98043-2135
(206) 388-0544
Mailing address
14170 NE 183RD ST UNIT 329, WOODINVILLE, WA 98072-7077
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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