Most Relevant Information
Provider Data
| NPI Number: | 1003456872 |
| Provider Name: | ELLIOTT O DUEA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/09/2020 |
| Last Updated: | 01/09/2020 |
Provider Practice Location
1000 AUBURN WAY S
AUBURN
WA
980026132
Practice Location Phone/Fax
| Phone: | 2539392202 |
| Fax: |
Provider Mailing Location
1000 AUBURN WAY S
AUBURN
WA
980026132
Provider Mailing Phone/Fax
| Phone: | 2539392202 |
| Fax: |