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1013064617
LARA DOROTHY MAXWELL
BELLEVUE, WA
NPI
1013064617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WA RC00052506)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
-- LARA DOROTHY MAXWELL RC
14270 NE 21ST ST
BELLEVUE, WA 98007-3720
Phone number: 425-653-5000
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Mailing Address
-- LARA DOROTHY MAXWELL RC
1600 E OLIVE ST SEATTLE MENTAL HEALTH
SEATTLE, WA 98122-2735
Phone number: 206-302-2200
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