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Organization
REBECCA M. FISHAUT, MSW, LICSW, PLLC
Active
Organization
REBECCA M. FISHAUT, MSW, LICSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA M. FISHAUT MSW (THERAPIST/SOLE PROPRIETOR)
(425) 954-7473
Entity
Organization
Contact information
Practice address
1417 NW 54TH ST STE 334, SEATTLE, WA 98107-3571
(425) 954-7473
(844) 308-5012
Mailing address
1417 NW 54TH ST STE 334, SEATTLE, WA 98107-3571
(425) 954-7473
(844) 308-5012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60205276
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2074083
—
WA
Enumeration date
04/07/2016
Last updated
02/16/2022
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