Individual
ABIGAIL REBEKAH BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 JAMES ST, SEATTLE, WA 98104-5102
(206) 464-6454
Mailing address
216 JAMES ST, SEATTLE, WA 98104-5102
(206) 464-6454
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61081109
WA
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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