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General NPI Number Information
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NPI Number | 1376493759
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Entity Type | Organization
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Legal Business Name | WANDA BOE, MS, LMFT
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 1420 NW GILMAN BLVD # 2118
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City | ISSAQUAH
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State | WA
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Zip | 98027-5394
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Country | US
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Telephone | 425-985-2396
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1387
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City | NORTH BEND
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State | WA
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Zip | 98045-1387
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Country | US
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Telephone | 425-985-2396
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Fax | 425-888-0372
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Authorized Official
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Title or Position | OWNER
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Name | WANDA JEANETTE BOE
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Credential | LMFT
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Telephone | 425-985-2396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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