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Individual
MS. NATALIA INDRASARI
Active
Individual
MS. NATALIA INDRASARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0717001225
VA
106H00000X
Marriage & Family Therapist
Primary
086495
IA
106H00000X
Marriage & Family Therapist
175
HI
Other
Enumeration date
09/12/2011
Last updated
09/26/2018
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