Individual
MS. LAURIE PIA ROSTHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, CEAP
Contact information
Practice address
9500 ROOSEVELT WAY N.E., SUITE 206, SEATTLE, WA 98115-2253
(206) 523-1677
(206) 517-8113
Mailing address
9500 ROOSEVELT WAY N.E., SUITE 206, SEATTLE, WA 98115-2253
(206) 523-1677
(206) 517-8113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005600
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005857041
AETNA
WA
01
—
3399RO
REGENCE
WA
Enumeration date
05/08/2007
Last updated
07/08/2007
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