Individual
BRACK WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 3RD AVE, SEATTLE, WA 98104-2304
(206) 464-1570
Mailing address
515 3RD AVE, SEATTLE, WA 98104-2304
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61388966
WA
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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