Individual
LATRECIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
401 5TH AVE STE 400, SEATTLE, WA 98104-2377
(206) 305-7532
Mailing address
401 5TH AVE STE 400, SEATTLE, WA 98104-2377
(206) 305-7532
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60535135
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60535135
COUNSELOR AGENCY AFFILIATED REGISTRATION
WA
Enumeration date
01/24/2019
Last updated
01/24/2019
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