Individual
GLORIA SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
514 S 13TH ST, TACOMA, WA 98402-1908
(253) 396-5000
Mailing address
PO BOX 44814, TACOMA, WA 98448-0814
(253) 535-2235
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00018121
WA
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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