Individual
ASHLEE N AGTUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1064 SELAH LOOP RD, # B, SELAH, WA 98942-8817
(206) 280-6490
Mailing address
1064 SELAH LOOP RD, # B, SELAH, WA 98942-8817
(206) 280-6490
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60226330
WA
Other
Enumeration date
04/26/2011
Last updated
06/04/2012
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