Individual
GRACE GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1200 5TH AVE STE 800, SEATTLE, WA 98101-3136
(206) 374-0109
Mailing address
1200 5TH AVE., SEATTLE, WA 98101
(206) 374-0109
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY61002619
WA
Other
Enumeration date
07/12/2016
Last updated
07/24/2020
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