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1295079390
SANTI WIBAWANTINI
EVERETT, WA
NPI
1295079390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: WA LF60637556)
Enumeration Date
2012-11-15
Last Update Date
2022-09-28
Business Address
Mrs. SANTI WIBAWANTINI MA, LMFT
2930 MAPLE ST
EVERETT, WA 98201-3832
Phone number: 888-287-2680
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Mailing Address
Mrs. SANTI WIBAWANTINI MA, LMFT
5508 234TH ST SW
MOUNTLAKE TERRACE, WA 98043-4746
Phone number: 425-448-8094
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