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Organization
INLIFE CLINIC, LLC
Active
Organization
INLIFE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS ROGERS MA, LMHC (DIRECTOR)
(425) 822-3252
Entity
Organization
Contact information
Practice address
3055 112TH AVE NE STE 125, BELLEVUE, WA 98004-2063
(425) 822-3252
Mailing address
3055 112TH AVE NE STE 125, BELLEVUE, WA 98004-2063
(425) 822-3252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00007342
WA
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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