Individual
MRS. SUSAN M HUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1901 S UNION AVE, SUITE 5006, TACOMA, WA 98405-1702
(253) 627-1454
(253) 572-8712
Mailing address
1901 S UNION AVE, SUITE 5006, TACOMA, WA 98405-1702
(253) 627-1454
(253) 572-8712
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001133
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LF00001133
WA STATE DEPT OF HEALTH
—
01
—
WA-02705
WA STATE DEPT OF HEALTH
—
Enumeration date
08/10/2006
Last updated
07/08/2007
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