| Kcsarc | |
|
200 Mill Ave S Ste 10 Renton WA 98057-2175 | |
| (425) 226-5062 | |
| (425) 235-7422 |
| Full Name | Kcsarc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 200 Mill Ave S Ste 10, Renton, Washington |
| Authorized Official Name and Position | Deann Yamamoto (DEPUTY EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4252820349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kcsarc 200 Mill Ave S Ste 10 Renton WA 98057-2175 Ph: (425) 226-5062 | Kcsarc 200 Mill Ave S Ste 10 Renton WA 98057-2175 Ph: (425) 226-5062 |
| NPI Number | 1750516829 |
|---|---|
| Provider Enumeration Date | 05/19/2009 |
| Last Update Date | 05/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750516829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW00009759 (Washington) | Primary |
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