Individual
ANNIELLA N LEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 STATE AVE NE, OLYMPIA, WA 98506-3984
(360) 943-0780
Mailing address
711 STATE AVE NE, OLYMPIA, WA 98506-3984
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60988041
WA
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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