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FIDDLEHEAD THERAPY PLLC

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Company Details

Legal Name: FIDDLEHEAD THERAPY PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 20th 2023
Expiration date: 31 Oct 2025
UBI Number: 605 349 645
ZIP code: 98043
City: Mountlake Terrace
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 21907 64TH AVE W STE 330, MOUNTLAKE TER, WA, 98043-6238, UNITED STATES

Contact Details

E-Mail: LAURIE@FIDDLEHEADTHERAPY.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LAURIE GANBERG Registered Agent 21907 64TH AVE W STE 330, MOUNTLAKE TER, WA, 98043-6238, UNITED STATES

Key Officers & Management

Name Role Address
LAURIE GANBERG Executor 21907 64TH AVE W STE 330, MOUNTLAKE TER, WA, 98043-6238, UNITED STATES
LAURIE GANBERG Governing Person 21907 64TH AVE W, SUITE 330, MOUNTLAKE TER, WA, 98043-6238, UNITED STATES

National Provider Identifier

NPI Number:
1003684432
Certification Date:
2023-12-14

Authorized Person:

Name:
LAURIE GANBERG
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

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