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Individual

VIVIAN WEBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1103 16TH AVE, SEATTLE, WA 98122-4533
(206) 324-9021
Mailing address
1103 16TH AVE, SEATTLE, WA 98122-4533
(206) 324-9021

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1150
WA

Other

Enumeration date
09/30/2024
Last updated
09/30/2024
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