Individual
GEORGIA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14803 15TH AVE NE, SHORELINE, WA 98155-7110
(206) 362-7282
Mailing address
14803 15TH AVE NE, SHORELINE, WA 98155-7110
(206) 362-7282
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
09/01/2022
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