| Perinatal Support Washington | |
|
2319 N 45th St Ste 303 Seattle WA 98103-6979 | |
| (888) 404-7763 | |
| Not Available |
| Full Name | Perinatal Support Washington |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2319 N 45th St Ste 303, Seattle, Washington |
| Authorized Official Name and Position | Mia Edidin (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8884047763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perinatal Support Washington 2311 N 45th St # 239 Seattle WA 98103-6905 Ph: (888) 404-7763 | Perinatal Support Washington 2319 N 45th St Ste 303 Seattle WA 98103-6979 Ph: (888) 404-7763 |
| NPI Number | 1528682440 |
|---|---|
| Provider Enumeration Date | 06/05/2020 |
| Last Update Date | 06/05/2020 |
| Certification Date | 06/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528682440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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