Individual
ELIZABETH M VITAL-GRAGNANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 SUMMIT AVE, EVERETT, WA 98201-3309
(425) 258-2407
Mailing address
17051 2ND AVE NW, SHORELINE, WA 98177-3605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60792785
WA
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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