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Individual

BRUCE GIMPLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
3216 NE 45TH PL, SUITE 105, SEATTLE, WA 98105-4093
(206) 919-9070
Mailing address
13297 15TH AVE NE, SEATTLE, WA 98125-4049
(206) 919-9070

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009213
WA

Other

Enumeration date
05/22/2007
Last updated
04/11/2017
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