Individual
MS. GRETA CULLEN BRACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CG60872398
Contact information
Practice address
1305 TACOMA AVE S, TACOMA, WA 98402-1903
(253) 320-5674
Mailing address
1305 TACOMA AVE S, TACOMA, WA 98402-1903
(253) 320-5674
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60872398
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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