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1639515117
ELLA IDIL INDRA
SEATTLE, WA
NPI
1639515117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00008708)
Enumeration Date
2013-05-11
Last Update Date
2013-05-11
Business Address
-- ELLA IDIL INDRA LICSW
720 N 35TH ST
SEATTLE, WA 98103-8816
Phone number: 206-351-3831
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Mailing Address
-- ELLA IDIL INDRA LICSW
8302 26TH AVE NW
SEATTLE, WA 98117-4447
Phone number: 206-351-3831
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