Organization
FIDDLEHEAD THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE GANBERG MSW, LICSW (OWNER)
(425) 399-7063
Entity
Organization
Contact information
Practice address
21907 64TH AVE W STE 330, MOUNTLAKE TERRACE, WA 98043-6238
(425) 399-7063
Mailing address
21907 64TH AVE W STE 330, MOUNTLAKE TERRACE, WA 98043-6238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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