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1831740620
LISA CLARA MELTVEDT KOONTZ
BOTHELL, WA
NPI
1831740620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
LISA CLARA MELTVEDT KOONTZ
19201 120TH AVE NE
BOTHELL, WA 98011-9517
Phone number: 425-485-6541
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Mailing Address
LISA CLARA MELTVEDT KOONTZ
16518 39TH AVE NE
LAKE FOREST PARK, WA 98155-5602
Phone number: 425-478-5692
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