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1255767562
LORA IVANOVA KIM
SEATTLE, WA
NPI
1255767562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2013-09-18
Last Update Date
2021-04-05
Business Address
Miss LORA IVANOVA KIM LMHC, MHP, NCC
226 SUMMIT AVE E STE 25
SEATTLE, WA 98102-5619
Phone number: 206-536-7503
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Mailing Address
Miss LORA IVANOVA KIM LMHC, MHP, NCC
P.O. BOX 9572
SEATTLE, WA 98109
Phone number: 888-232-0222
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