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1871197814
KEONNA MOFFETT
RENTON, WA
NPI
1871197814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW60608715)
Enumeration Date
2020-11-30
Last Update Date
2021-04-15
Business Address
KEONNA MOFFETT LICSW
2715 NACHES AVE SW
RENTON, WA 98057-2627
Phone number: 206-630-1680
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Mailing Address
KEONNA MOFFETT LICSW
4302 S 122ND ST
TUKWILA, WA 98178-3437
Phone number: 206-725-0924
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