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General NPI Number Information
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NPI Number | 1497568000
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Entity Type | Organization
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Legal Business Name | WOMEN'S WORK THERAPY PLLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 17220 127TH PL NE STE 304
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City | WOODINVILLE
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State | WA
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Zip | 98072-7965
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Country | US
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Telephone | 360-381-2354
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 101
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City | INDEX
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State | WA
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Zip | 98256-0101
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Country | US
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Telephone | 360-381-2354
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAYA ELIZABETH CALDWELL ELEAZER
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Credential | LMHC
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Telephone | 360-381-2354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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