Sonya's Private Practice Pllc | |
16010 Se 250th Ct Covington WA 98042-4168 | |
(253) 951-1872 | |
Not Available |
Full Name | Sonya's Private Practice Pllc |
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Speciality | Social Worker |
Location | 16010 Se 250th Ct, Covington, Washington |
Authorized Official Name and Position | Sonya Harkins (OWNER) |
Authorized Official Contact | 2539511872 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sonya's Private Practice Pllc 16010 Se 250th Ct Covington WA 98042-4168 Ph: (253) 951-1872 | Sonya's Private Practice Pllc 16010 Se 250th Ct Covington WA 98042-4168 Ph: (253) 951-1872 |
NPI Number | 1336893296 |
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Provider Enumeration Date | 02/09/2022 |
Last Update Date | 06/06/2022 |
Certification Date | 06/06/2022 |
Medicare PECOS PAC ID | 8022498088 |
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Medicare Enrollment ID | O20220707003681 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336893296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Sonya Harkins |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164783114 PECOS PAC ID: 8527038850 Enrollment ID: I20120730000323 |
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