CHARLES A FANUCCHI

KENT, WA
NPI1346468964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: WA  LW00006266)
Enumeration Date2007-04-20
Last Update Date2007-07-08
Business Address
CHARLES A FANUCCHI LSW
325 W GOWE ST
KENT, WA 98032-5892
Phone number: 253-520-9350
Mailing Address
CHARLES A FANUCCHI LSW
2704 I ST NE
AUBURN, WA 98002-2411
Phone number: 253-833-7444