Individual
CHANDREA PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3214 W MCGRAW ST STE 212, SEATTLE, WA 98199-3239
(206) 453-4882
Mailing address
4062 ALABASTER ST SE, LACEY, WA 98503-2184
(706) 358-9463
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
04/17/2008
Last updated
03/17/2018
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