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Individual
LILY C MUNAVU
Active
Individual
LILY C MUNAVU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60073221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006690
—
WA
01
—
PY60073221
LICENSE
WA
Enumeration date
03/17/2010
Last updated
12/13/2012
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