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NPI 1992433676

NPI 1992433676 : LUCY GUNTER THERAPY PLLC : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1992433676
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    Entity Type          |    Organization 
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    Legal Business Name  |    LUCY GUNTER THERAPY PLLC 
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Dates
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    Enumeration Date     |    08/10/2022
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    Last Update Date     |    08/10/2022
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Provider Practice Location Address
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    Address Line         |    2033 MINOR AVE E STE 5 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98102-3548
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    Country              |    US
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    Telephone            |    703-994-2317
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    763 BELMONT PL E APT 108 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98102-4475
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    Country              |    US
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    Telephone            |    703-994-2317
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    Fax                  |    
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Authorized Official
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    Title or Position    |    THERAPIST/OWNER
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    Name                 |     LUCY  GUNTER 
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    Credential           |    MSW
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    Telephone            |    703-994-2317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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