Individual
MADALINE KAPETANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 362-7282
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 362-7282
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
05/18/2026
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