Individual
REBEKAH E WYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
743 N 100TH ST, SEATTLE, WA 98133-9305
(206) 771-1589
Mailing address
743 N 100TH ST, SEATTLE, WA 98133-9305
(206) 771-1589
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC60298475
WA
Other
Enumeration date
09/12/2012
Last updated
12/28/2023
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