Individual
JACLYNN FOSTER-WITTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
Mailing address
205 19TH AVE E APT 103, SEATTLE, WA 98112-5355
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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