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1609383371
KATIE WILD
REDMOND, WA
NPI
1609383371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA 60803555)
Enumeration Date
2018-01-03
Last Update Date
2018-01-03
Business Address
KATIE WILD M.A LMHCA R-DMT
16150 NE 85TH ST STE 220
REDMOND, WA 98052-3546
Phone number: 425-558-0558
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Mailing Address
KATIE WILD M.A LMHCA R-DMT
3805 SW ADMIRAL WAY
SEATTLE, WA 98126-2118
Phone number:
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