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Individual
LILLIAN M CASSIDY
Active
Individual
LILLIAN M CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00018275
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173192
L & I
WA
01
—
3358CA
REGENCE
WA
Enumeration date
04/05/2006
Last updated
10/01/2008
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