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Individual

MRS. GINA MARIA MUNRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDP

Contact information

Practice address
27203 216TH AVE SE STE 5, MAPLE VALLEY, WA 98038-3273
(425) 584-7570
(425) 584-7570
Mailing address
7440 W MARGINAL WAY S, SEATTLE, WA 98108-4141
(206) 470-3858
(206) 470-3857

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60951619
WA

Other

Enumeration date
10/24/2017
Last updated
06/08/2021
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