Individual
MICHAEL GWANJAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LW61575358
Contact information
Practice address
14623 MAIN ST APT B203, MILL CREEK, WA 98012-2013
(425) 948-7248
Mailing address
14623 MAIN ST APT B203, MILL CREEK, WA 98012-2013
(259) 487-2484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61575358
WA
Other
Enumeration date
06/30/2022
Last updated
09/30/2024
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