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1669201331
DIANA WIRTALA
RENTON, WA
NPI
1669201331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2024-07-30
Last Update Date
2024-11-04
Business Address
DIANA WIRTALA
723 SW 10TH ST
RENTON, WA 98057-5223
Phone number: 206-461-4880
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Mailing Address
DIANA WIRTALA
723 SW 10TH ST
RENTON, WA 98057-5223
Phone number: 206-461-4880
Copy
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