| Laurie A Sirotkin Msw Licsw Pllc | |
|
19101 36th Ave W Ste 208 Lynnwood WA 98036-5759 | |
| (888) 365-3637 | |
| (425) 483-1841 |
| Full Name | Laurie A Sirotkin Msw Licsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19101 36th Ave W Ste 208, Lynnwood, Washington |
| Authorized Official Name and Position | Laurie Sirotkin (PROVIDER) |
| Authorized Official Contact | 8883653637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie A Sirotkin Msw Licsw Pllc Po Box 15178 Mill Creek WA 98082-3178 Ph: (888) 365-3637 | Laurie A Sirotkin Msw Licsw Pllc 19101 36th Ave W Ste 208 Lynnwood WA 98036-5759 Ph: (888) 365-3637 |
| NPI Number | 1497228209 |
|---|---|
| Provider Enumeration Date | 01/03/2019 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497228209 | NPI | - | NPPES |
| 2040618 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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