Provider Information for 1235643578
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KATIE KAPUGI MA, LMHC
Sex: Female
NPI: 1235643578
Last Updated: 2020-04-08
Certification Date: 2020-04-08
Certification Date: 2020-04-08
Details
Name | Value | ||||||||
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NPI | 1235643578 | ||||||||
Enumeration Date | 2017-11-22 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | PO BOX 3835 SEATTLE, WA 98124-3835 United States Phone: | Fax: | ||||||||
Primary Practice Address | 7740 34TH AVE SW SEATTLE, WA 98126-3503 United States Phone: 206-452-2660 | Fax:206-452-2661 | ||||||||
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