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Individual

VIRGINIA GRAFTON BECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
727 N 182ND ST, SUITE 202, SHORELINE, WA 98133-4402
(206) 542-6670
(206) 542-5235
Mailing address
727 N 182ND ST, SUITE 202, SHORELINE, WA 98133-4402
(206) 542-6670
(206) 542-5235

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00001311
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5374575
AETNA US HEALTHCARE
01
GR2317
REGENCE PIN
WA
Enumeration date
01/09/2007
Last updated
07/09/2007
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