Beau D Shattuck
NPI #1710658547 in Lacey, Washington
Provider Information
- NPI Number
- 1710658547
- Entity Type
- Individual
- Name
- Beau D Shattuck
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Sep 22, 2021
- Last Updated
- Sep 22, 2021
Practice Location
- Address
- 612 WOODLAND SQUARE LOOP SE STE 401
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-1070
- Phone
- (360) 763-5828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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