Individual
REDEITE SORA MOGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 16TH AVE E, SEATTLE, WA 98112-5212
(206) 901-2000
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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