Individual
SHELLIE GRAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
22125 17TH AVE SE STE 101, BOTHELL, WA 98021-7409
(206) 858-1177
Mailing address
22125 17TH AVE SE STE 101, BOTHELL, WA 98021-7409
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60727738
WA
Other
Enumeration date
10/21/2014
Last updated
03/17/2018
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