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Individual
IRURU MORI
Active
Individual
IRURU MORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MG60155430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60215280
WA
101YM0800X
Mental Health Counselor
MG60155430
WA
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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