{
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"EIN": null,
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"FirstLineMailingAddress": "PO BOX 1021",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DUVALL",
"MailingAddressStateName": "WA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-974-4830",
"MailingAddressFaxNumber": "360-794-7252",
"FirstLinePracticeLocationAddress": "15315 1ST AVE NE",
"SecondLinePracticeLocationAddress": "SUITE #212",
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"PracticeLocationAddressTelephoneNumber": "425-736-8862",
"PracticeLocationAddressFaxNumber": "360-794-7252",
"EnumerationDate": "08/30/2006",
"LastUpdateDate": "02/09/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "LF60097549",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}