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Individual

IAN DAVID WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LMFT

Contact information

Practice address
310 3RD AVE NE STE 102, ISSAQUAH, WA 98027-3345
(206) 594-5885
Mailing address
310 3RD AVE NE STE 102, ISSAQUAH, WA 98027-3345
(206) 594-5885

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF61480249
WA

Other

Enumeration date
06/18/2018
Last updated
12/04/2023
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