Individual
ETHAN BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5937
Mailing address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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