Individual
MIA EDIDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2319 N 45TH ST, #303, SEATTLE, WA 98103-6982
(206) 659-7773
Mailing address
2319 N 45TH ST, #303, SEATTLE, WA 98103-6982
(206) 659-7773
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LW60161191
WA
Other
Enumeration date
11/20/2012
Last updated
02/01/2024
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