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1588139133
ANTONIO SOTO
RENTON, WA
NPI
1588139133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA SC60443412)
Enumeration Date
2018-10-10
Last Update Date
2018-10-10
Business Address
ANTONIO SOTO LICSWA
2500 LAKE WASHINGTON BLVD N
RENTON, WA 98056-2597
Phone number: 425-228-5776
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Mailing Address
ANTONIO SOTO LICSWA
2500 LAKE WASHINGTON BLVD N
RENTON, WA 98056-2597
Phone number: 425-228-5776
Copy
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