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PERSEPHONE MARIE MANWARING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1600 E OLIVE ST, FACT, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210
Mailing address
1600 E OLIVE ST, SOUND MENTAL HEALTH, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60309979
WA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN60309979
WA

Other

Enumeration date
05/08/2013
Last updated
05/22/2013
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