Individual
ANNIE LAI SAEPHANH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9714 3RD AVE NE STE 206, SEATTLE, WA 98115-2046
(206) 636-1101
Mailing address
9714 3RD AVE NE STE 206, SEATTLE, WA 98115-2046
(206) 636-1101
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
08/12/2022
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