Latu Deressa Wanjalatan

NPI #1033992581 in Shoreline, Washington

Provider Information

NPI Number: 1033992581
Entity Type: Individual
Name: Latu Deressa Wanjalatan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Aug 17, 2023
Last Updated: Aug 17, 2023

Practice Location

Address: 14803 15TH AVE NE
City: Shoreline
State: Washington
ZIP Code: 98155
Phone: (206) 519-9326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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