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Traci M Peterson Hougen, LMP
Specialist in Conconully, Washington
NPI 1710190426

Traci M Peterson Hougen is a Specialist based in Conconully, WA. Traci M Peterson Hougen practices in Conconully, WA and has the professional credentials of LMP. The NPI Number for Traci M Peterson Hougen is 1710190426 and holds a License No. MA00017693 (Washington).

The current practice location address for Traci M Peterson Hougen is 408 Main Street, Conconully, WA and can be reached out via phone at 509-826-5548.

Location: 408 Main Street, Conconully, WA, 98819-0324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710190426
Provider Name
Traci M Peterson Hougen
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
408 Main Street, Conconully, WA, 98819-0324
Phone Number
509-826-5548
Fax Number
Provider Enumeration Date
05/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
408 Main Street
City
Conconully
State
Washington
Zip
98819
Phone Number
509-826-5548
Fax Number
person
Provider Business Mailing Address Details
Address
408 Main Street
City
Conconully
State
Washington
Zip
98819
Phone Number
509-826-5548
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00017693 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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