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1013649698
MICHAEL GWANJAYE
MILL CREEK, WA
NPI
1013649698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW61575358)
Enumeration Date
2022-06-30
Last Update Date
2024-09-30
Business Address
MICHAEL GWANJAYE LW61575358
14623 MAIN ST APT B203
MILL CREEK, WA 98012-2013
Phone number: 425-948-7248
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Mailing Address
MICHAEL GWANJAYE LW61575358
14623 MAIN ST APT B203
MILL CREEK, WA 98012-2013
Phone number: 259-487-2484
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