Individual
CORINNE C. WEGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4370
(206) 598-6333
Mailing address
PO BOX 24366, SEATTLE, WA 98124-0366
(206) 598-0502
(206) 598-0516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005280
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U54386
REGENCE BLUESHIELD
WA
Enumeration date
02/13/2007
Last updated
10/12/2007
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