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Individual
RIIS WHITWORTH
Active
Individual
RIIS WHITWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
61347503
WA
225700000X
Massage Therapist
MA61630639
WA
Other
Enumeration date
09/09/2022
Last updated
12/16/2024
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