Individual
LILY C MUNAVU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1728 W MARINE VIEW DR STE 106, EVERETT, WA 98201-2094
(425) 339-5453
(425) 252-4441
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60073221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006690
—
WA
01
—
PY60073221
LICENSE
WA
Enumeration date
03/17/2010
Last updated
12/13/2012
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