Individual
NICO ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(510) 317-1444
Mailing address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(206) 948-0096
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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