Individual
ANTONIA E. CALIBOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1107 NE 45TH ST STE 200, SEATTLE, WA 98105-4631
(206) 552-0783
Mailing address
1107 NE 45TH ST STE 200, SEATTLE, WA 98105-4631
(206) 552-0783
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW60833193
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033507074
—
WA
Enumeration date
12/29/2014
Last updated
09/10/2020
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