Individual
EVERETT LALLY
Active
Individual
EVERETT LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CGC
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GT61010152
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GT61010152
GENETIC COUNSELING LICENSE
WA
Enumeration date
01/22/2020
Last updated
11/27/2023
Update your record
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