Individual
MAKINIE FORTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4333 NE 22ND CT, RENTON, WA 98059-3648
(971) 600-1735
Mailing address
4333 NE 22ND CT, RENTON, WA 98059-3648
(786) 897-6714
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60640108
WA
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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