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Individual

CARLA MUNGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1495 NW GILMAN BLVD, SUITE 11, ISSAQUAH, WA 98027-8975
(425) 295-7697
Mailing address
1495 NW GILMAN BLVD, SUITE 11, ISSAQUAH, WA 98027-8975
(425) 295-7697

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC 60312903
WA

Other

Enumeration date
12/23/2013
Last updated
12/23/2013
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