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Individual

GEORGE ANKUTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
16259 SYLVESTER RD SW, STE 504, BURIEN, WA 98166-3059
(206) 241-9068
(206) 241-2651
Mailing address
16259 SYLVESTER RD SW, STE 504, BURIEN, WA 98166-3059
(206) 241-9068
(206) 241-2651

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1712
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
76834
WA
Enumeration date
08/10/2006
Last updated
06/08/2016
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