Individual
GANITA MUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 15TH AVE S STE 103, SEATTLE, WA 98108-1874
(253) 458-4281
Mailing address
4501 15TH AVE S STE 103, SEATTLE, WA 98108-1874
(253) 458-4281
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LW61004812
WA
Other
Enumeration date
09/18/2015
Last updated
02/15/2021
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