Most Relevant Information
Provider Data
| NPI Number: | 1003686171 |
| Provider Name: | MARRY-KATE LINDSEY SUDPT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/08/2024 |
| Last Updated: | 01/08/2024 |
Provider Practice Location
1601 E FOURTH PLAIN BLVD
VANCOUVER
WA
986613713
Practice Location Phone/Fax
| Phone: | 3603978246 |
| Fax: |
Provider Mailing Location
2711 BROADWAY ST
VANCOUVER
WA
986633279
Provider Mailing Phone/Fax
| Phone: | 3609751180 |
| Fax: |