Individual
PROF. AUDREY MAE TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTA
Contact information
Practice address
2041 E MADISON ST, SEATTLE, WA 98122-2959
(206) 786-8228
Mailing address
2041 E MADISON ST, SEATTLE, WA 98122-2959
(206) 786-8228
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
WA
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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