Individual
MISS MIRA FARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MSW, LSWAIC
Contact information
Practice address
520 2ND AVE W APT 102, SEATTLE, WA 98119-3977
(206) 210-7115
Mailing address
1600 S LANE ST, SEATTLE, WA 98144-2810
(206) 441-3329
(206) 441-3014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
04/17/2023
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