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Individual

STEPHANIE ANN MOBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1817 QUEEN ANNE AVE N STE 309, SEATTLE, WA 98109-2876
(206) 351-2291
Mailing address
1817 QUEEN ANNE AVE N STE 309, SEATTLE, WA 98109-2876
(206) 351-2291

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60282607
WA

Other

Enumeration date
09/22/2011
Last updated
10/01/2012
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