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Individual
SEAN PATRICK KAVANAUGH
Active
Individual
SEAN PATRICK KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
BBH-SWLC-LIC-43230
MT
104100000X
Social Worker
CG61248749
WA
104100000X
Social Worker
SC61246297
WA
1041C0700X
Clinical Social Worker
Primary
LW61337945
WA
390200000X
Student in an Organized Health Care Education/Training Program
SC61246297
WA
Other
Enumeration date
12/21/2020
Last updated
08/01/2025
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