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Individual

ALICIA BOLIVAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2133 3RD AVE STE 116, SEATTLE, WA 98121-2353
(206) 556-6746
Mailing address
620 8TH AVE APT B210, SEATTLE, WA 98104-1903
(206) 683-9457

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/14/2022
Last updated
07/14/2022
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