Individual
AUDREY OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
11000 LAKE CITY WAY NE, SEATTLE, WA 98125-6748
(206) 545-8610
Mailing address
11000 LAKE CITY WAY NE, SEATTLE, WA 98125-6748
(206) 545-8610
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC 60614205
WA
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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