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1790255131
KRYSTAL FARAZ
LAKEWOOD, WA
NPI
1790255131
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Former Name
KRYSTAL GORDON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC60894606)
Enumeration Date
2018-11-28
Last Update Date
2018-11-28
Business Address
KRYSTAL FARAZ MS
9330 59TH AVENUE SW
LAKEWOOD, WA 98499
Phone number: 253-620-5015
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Mailing Address
KRYSTAL FARAZ MS
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number:
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