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Individual

MS. MARTHA AMY LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
19116 33RD AVE W, LYNNWOOD, WA 98036-4706
(425) 712-7900
Mailing address
19116 33RD AVE W, LYNNWOOD, WA 98036-4706
(425) 712-7900
(425) 712-7905

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW0004951
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LW00004951
LICENSED SOCIAL WORKER
WA
Enumeration date
09/07/2006
Last updated
08/06/2018
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