Individual
MS. MWICHE LUPAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4606 S 170TH ST, SEATAC, WA 98188-3254
(218) 259-0448
Mailing address
232 2ND AVE S, KENT, WA 98032-5862
(253) 859-0300
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60311142
WA
Other
Enumeration date
10/29/2018
Last updated
02/11/2020
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