ANGELA WYNONNA SUSILO

MERCER ISLAND, WA
NPI1831862598
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  MC61094941)
Enumeration Date2021-07-28
Last Update Date2021-08-14
Business Address
ANGELA WYNONNA SUSILO LMHCA
3210 SHOREWOOD DR APT 145
MERCER ISLAND, WA 98040-3224
Phone number: 331-444-9206
Mailing Address
ANGELA WYNONNA SUSILO LMHCA
3210 SHOREWOOD DR APT 145
MERCER ISLAND, WA 98040-3224
Phone number: 331-444-9206
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