Individual
MARYANNE STAIGERS TRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2617 12TH CT SW STE B5, OLYMPIA, WA 98502-1023
(360) 352-1750
(360) 352-7881
Mailing address
PO BOX 11009, OLYMPIA, WA 98508-1009
(360) 352-2037
(360) 352-0637
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0227339
LABOR AND INDUSTRIES
WA
05
—
7028798
—
WA
Enumeration date
11/30/2006
Last updated
01/04/2008
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