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1215304027
MIMI LASAMY VIRACHI
PUYALLUP, WA
NPI
1215304027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2015-08-27
Last Update Date
2019-03-11
Business Address
MIMI LASAMY VIRACHI
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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Mailing Address
MIMI LASAMY VIRACHI
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 253-697-8400
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