Individual
BRENT THOMAS FILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAC
Contact information
Practice address
14115 AURORA AVE N, SEATTLE, WA 98133-6942
(206) 335-7843
Mailing address
14115 AURORA AVE N, SEATTLE, WA 98133-6942
(206) 335-7843
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG60915674
WA
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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