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ALEXANDRIA RAENE MCCULLOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
40 LAKE BELLEVUE DR STE 100, BELLEVUE, WA 98005-2480
(206) 793-7168
Mailing address
40 LAKE BELLEVUE DR STE 100, BELLEVUE, WA 98005-2480
(206) 793-7168

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61370661
WA

Other

Enumeration date
06/28/2022
Last updated
04/02/2025
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