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Individual

LILA MILICA VIDGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
200 W MERCER ST, SUITE 200, SEATTLE, WA 98119-3995
(206) 979-9618
Mailing address
200 W MERCER ST, SUITE 200, SEATTLE, WA 98119-3995
(206) 979-9618

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003124
WA

Other

Enumeration date
03/01/2007
Last updated
07/08/2007
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