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1598382889
LARISA WADE
SHORELINE, WA
NPI
1598382889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-07-02
Last Update Date
2020-07-02
Business Address
LARISA WADE
14803 15TH AVE NE
SHORELINE, WA 98155-7110
Phone number: 206-631-8837
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Mailing Address
LARISA WADE
10224 FISCHER PL NE
SEATTLE, WA 98125-7730
Phone number: 360-359-3585
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