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Individual
MR. ALEXANDER IANTO WEST
Active
Individual
MR. ALEXANDER IANTO WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60997726
WA
103TC0700X
Clinical Psychologist
PY60997726
WA
Other
Enumeration date
03/29/2019
Last updated
12/12/2024
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