Individual
MRS. DEBRA KAY KAITSCHUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5878
Mailing address
903 NORTHUP WAY, APT A, BELLEVUE, WA 98008-3847
(425) 679-6679
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RC00058639
REGISTERED COUNSELOR #
WA
Enumeration date
12/19/2007
Last updated
12/19/2007
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