Individual
DOUGLAS WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 TACOMA AVE S, 305, TACOMA, WA 98402-1903
(253) 396-5800
Mailing address
1712 118TH ST S, TACOMA, WA 98444-2416
(253) 359-2613
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG 60264112
WA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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