| |
17007 11th Pl W Lynnwood WA 98037-3342 | |
(269) 720-6947 | |
(269) 443-2166 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 17007 11th Pl W, Lynnwood, Washington |
Authorized Official Name and Position | Bridget Bracken (BILLING MANAGER) |
Authorized Official Contact | 2489391762 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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17007 11th Pl W Lynnwood WA 98037-3342 Ph: (269) 720-6947 | 17007 11th Pl W Lynnwood WA 98037-3342 Ph: (269) 720-6947 |
NPI Number | 1730728049 |
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Provider Enumeration Date | 01/03/2020 |
Last Update Date | 10/17/2023 |
Certification Date | 10/17/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730728049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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