Individual
MS. NICOLE AVERIL BLYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2921 NACHES AVE SW, RENTON, WA 98057-2617
(206) 630-1380
Mailing address
2921 NACHES AVE SW, RENTON, WA 98057-2617
(206) 630-1680
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW60411039
WA
Other
Enumeration date
07/16/2010
Last updated
05/13/2022
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