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France Dutra, MC 60505021

Counselor, Mental Health in Kirkland, WA. Individual provider (NPI-1).

NPI number1548666100
StatusActive
Last updated in NPPESNov 10, 2014

Details

NPI
1548666100
Entity type
Individual (NPI-1)
Name
France Dutra
Credential
MC 60505021
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 10, 2014
Last updated
Nov 10, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthMc60505021WAYes

Practice location

13303 79th Pl Ne
Kirkland, WA 98034-5115

Phone 425-351-6520

Mailing address

13303 79th Pl Ne
Kirkland, WA 98034-5115

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