Individual
DIPA GAUTAM ACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
3639 MLIK JR.WAY S, SEATTLE, WA 98144
(206) 695-7600
Mailing address
3639 MLK JR WAY S, SEATTLE, WA 98144-6847
(207) 695-7600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60131173
WA
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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