Individual
JUAN MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSWA
Contact information
Practice address
4120 MERIDIAN ST STE 220, BELLINGHAM, WA 98226-5575
(360) 922-3030
Mailing address
4120 MERIDIAN ST STE 220, BELLINGHAM, WA 98226-5575
(360) 922-3030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61415782
WA
Other
Enumeration date
11/27/2017
Last updated
02/29/2024
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