Provider Demographics
NPI:1093423956
Name:RAMARUI, MARGO
Entity Type:Individual
Prefix:
First Name:MARGO
Middle Name:
Last Name:RAMARUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3706 78TH AVENUE CT W APT U102
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-3219
Mailing Address - Country:US
Mailing Address - Phone:360-463-3773
Mailing Address - Fax:
Practice Address - Street 1:3706 78TH AVENUE CT W APT U102
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-3219
Practice Address - Country:US
Practice Address - Phone:360-463-3773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACL61370789101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty