Individual
MARY KATHRYN LAGERSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
300 LENORA ST SUITE 795, SEATTLE, WA 98121-9812
(855) 455-4454
(206) 649-4490
Mailing address
5101 E BERNEIL DR, PARADISE VALLEY, AZ 85253-1545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61323093
WA
1041C0700X
Clinical Social Worker
SC60823056
WA
Other
Enumeration date
07/06/2018
Last updated
02/14/2023
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