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Individual

KATHLEEN LOUISE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
9206 17TH AVE NE, SEATTLE, WA 98115-3214
(206) 524-7521
Mailing address
9206 17TH AVE NE, SEATTLE, WA 98115-3214
(206) 524-7521

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60547958
WA

Other

Enumeration date
07/17/2019
Last updated
07/07/2020
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