Individual
SARA CANDACE MACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CG 61304411
Contact information
Practice address
3401 RAINIER AVE S, SEATTLE, WA 98144-6954
(206) 793-7555
Mailing address
3501 RAINIER AVE S, SEATTLE, WA 98144-3555
(206) 793-7555
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61304411
WA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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