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1851043863
LISA EMILY THEOFELIS
DES MOINES, WA
NPI
1851043863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC.61250418)
Enumeration Date
2022-01-20
Last Update Date
2022-01-20
Business Address
LISA EMILY THEOFELIS MC.61250418
1322 S 235TH PL
DES MOINES, WA 98198-5426
Phone number: 206-914-4697
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Mailing Address
LISA EMILY THEOFELIS MC.61250418
1322 S 235TH PL
DES MOINES, WA 98198-5426
Phone number: 206-914-4697
Copy
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