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20006 Cedar Valley Rd Suite 101e Lynnwood WA 98036-6334 | |
| (425) 931-2728 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20006 Cedar Valley Rd, Lynnwood, Washington |
| Authorized Official Name and Position | Kim Hoffman (OWNER) |
| Authorized Official Contact | 4259312728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
20006 Cedar Valley Rd Suite 101e Lynnwood WA 98036 Ph: (425) 931-2728 | 20006 Cedar Valley Rd Suite 101e Lynnwood WA 98036-6334 Ph: (425) 931-2728 |
| NPI Number | 1700249737 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 03/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700249737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SC60443442 (Washington) | Primary |
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