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300 Lenora St # 795 Seattle WA 98121-2411 | |
| (415) 779-6090 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 300 Lenora St # 795, Seattle, Washington |
| Authorized Official Name and Position | Mariana Sampaio (OWNER) |
| Authorized Official Contact | 4157796090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
300 Lenora St # 795 Seattle WA 98121-2411 Ph: (415) 779-6090 | 300 Lenora St # 795 Seattle WA 98121-2411 Ph: (415) 779-6090 |
| NPI Number | 1548868276 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548868276 | NPI | - | NPPES |
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