Individual
ALEXANDER KRAIG ANAGNOSTOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CBT
Contact information
Practice address
8282 28TH CT NE STE A, LACEY, WA 98516-7162
(360) 915-6868
Mailing address
525 HILLCREST DR, LONGVIEW, WA 98632-5746
(360) 270-1257
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/11/2018
Last updated
11/14/2018
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