Individual
GRACE KATHERINE CUDDIHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2212 S JACKSON ST, SEATTLE, WA 98144-2591
(206) 322-2387
Mailing address
914 14TH AVE, SEATTLE, WA 98122-4510
(617) 304-9152
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000X
WA
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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