Individual
TAMI FREDERICK- MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
390 E CEDAR ST, SEQUIM, WA 98382-3403
(360) 681-8463
Mailing address
2314 E 5TH AVE, PORT ANGELES, WA 98362-9014
(360) 809-4269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60955723
WA
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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