Organization
DECIDE DIFFERENTLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAKTI SUTRIASA LCSW (PSYCHOTHERAPSIT)
(206) 486-4338
Entity
Organization
Contact information
Practice address
271 MADISON AVE S STE 203, BAINBRIDGE ISLAND, WA 98110-2524
(206) 486-4338
Mailing address
PO BOX 4467, ROLLINGBAY, WA 98061-0467
(206) 486-4338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 11579
FL
Other
Enumeration date
11/02/2013
Last updated
12/23/2022
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