Individual
MARY ELLEN HARGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
(253) 735-1513
Mailing address
3200 SHOREWOOD DR, #131, MERCER ISLAND, WA 98040-6200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00043305
WA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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