Individual
GINA MARIE FUDACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 BELL ST, SEATTLE, WA 98121-1748
(206) 456-3456
(206) 456-3487
Mailing address
1902 2ND AVE, C/O CREW, SEATTLE, WA 98101-1155
(206) 956-9570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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