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Individual

PHALA SIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CLINICAL (LICSW)

Contact information

Practice address
13451 SE 36TH ST, BELLEVUE, WA 98006-1475
(425) 562-1337
(425) 562-1331
Mailing address
8851 13TH AVE SW, SEATTLE, WA 98106-2440
(253) 820-3252

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW60253155
WA

Other

Enumeration date
05/01/2009
Last updated
10/26/2023
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