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Susan Moini, LICSW

Social Worker, Clinical in Kirkland, WA. Individual provider (NPI-1).

NPI number1295069540
StatusActive
Last updated in NPPESFeb 16, 2011

Details

NPI
1295069540
Entity type
Individual (NPI-1)
Name
Susan Moini
Credential
LICSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 18, 2009
Last updated
Feb 16, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLW00009062WAYes

Practice location

11415 Ne 128th St
Suite 100
Kirkland, WA 98034-6314

Phone 425-773-3677

Mailing address

11415 Ne 128th St
Suite 100
Kirkland, WA 98034-6314

Phone 425-773-3677

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