Individual
MICHELLE RAE CHADDERDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3214 W MCGRAW ST STE 212, SEATTLE, WA 98199-3239
(206) 453-4882
Mailing address
3214 W MCGRAW ST STE 212, SEATTLE, WA 98199-3239
(206) 453-4882
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG60585475
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60585475
DEPARTMENT OF HEALTH
WA
Enumeration date
07/24/2015
Last updated
07/24/2015
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