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Individual

GWENDOLYN YVONNE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
316 BROADWAY, SEATTLE, WA 98122-5325
(206) 464-3923
Mailing address
4750 15TH AVE NE APT 525, SEATTLE, WA 98105-4975
(206) 739-9087

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/21/2019
Last updated
11/27/2023
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