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1427744556
NICOLETTE CORELLA MOORE RUTAN
BELLEVUE, WA
NPI
1427744556
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Former Name
NICOLETTE CORELLA MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA SC61280235)
Enumeration Date
2023-04-12
Last Update Date
2023-04-12
Business Address
NICOLETTE CORELLA MOORE RUTAN LSWAIC
80 159TH PL NE
BELLEVUE, WA 98008-4415
Phone number: 281-620-9640
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Mailing Address
NICOLETTE CORELLA MOORE RUTAN LSWAIC
80 159TH PL NE
BELLEVUE, WA 98008-4415
Phone number: 281-620-9640
Copy
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