Individual
MS. CAROL B SHAKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
345 KNECHTAL WAY NE, SUITE #102, BAINBRIDGE ISLAND, WA 98110
(206) 842-1476
(206) 780-8581
Mailing address
PO BOX 11572, BAINBRIDGE ISLAND, WA 98110
(360) 620-0692
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00004136
WA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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