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Individual
SARAH MICHELLE WILLOW
Active
Individual
SARAH MICHELLE WILLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
602668079
WA
225700000X
Massage Therapist
Primary
60284012
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60284012
MASSAGE LICENSE
WA
Enumeration date
05/14/2012
Last updated
09/16/2021
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