Individual
VIDA R VASAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 FRONT ST N, ISSAQUAH, WA 98027-2914
(425) 392-6367
(425) 391-4971
Mailing address
414 FRONT ST N, ISSAQUAH, WA 98027-2914
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
WA
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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