Individual
MIMI LASAMY VIRACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
(253) 697-3730
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 697-8400
(253) 697-3730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/27/2015
Last updated
03/11/2019
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