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Individual

MARIN ANNALIESE GALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CERT REC THERAPIST

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
RE61683156
WA
225800000X
Recreation Therapist
Primary
RE61683156
WA

Other

Enumeration date
04/30/2025
Last updated
04/30/2025
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