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Organization
THERAPEUTIC MIND GROUP, PLLC
Active
Organization
THERAPEUTIC MIND GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITO MALTOS MSW (CLINICAL SOCIAL WORKER)
(206) 601-1817
Entity
Organization
Contact information
Practice address
12507 NE BEL RED RD STE 103, BELLEVUE, WA 98005-2500
(206) 601-1817
Mailing address
10507 24TH ST SE, LAKE STEVENS, WA 98258-5663
(206) 601-1817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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