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Organization

UNIVERSITY OF WASHINGTON PARENT-CHILD ASSISTANCE PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THERESE M. GRANT PH.D. (WASHINGTON STATE PCAP DIRECTOR)
(206) 543-7155
Entity
Organization

Contact information

Practice address
180 NICKERSON ST, SUITE 309, SEATTLE, WA 98109-1631
(206) 543-7155
(206) 685-2903
Mailing address
180 NICKERSON ST, SUITE 309, SEATTLE, WA 98109-1631
(206) 543-7155
(206) 685-2903

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7406911
WA
05
7408313
WA
01
8030132
SUBMITTER ID NUMBER
WA
Enumeration date
04/06/2007
Last updated
08/22/2020
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