Individual
MS. DIANE MIRANDA STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1730 MINOR AVE, SUITE 1400, SEATTLE, WA 98101-1498
(206) 287-2720
(206) 287-2626
Mailing address
1730 MINOR AVE, SUITE 1400, SEATTLE, WA 98101-1498
(206) 287-2720
(206) 287-2626
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LW 60067480
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8891182
MEDICARE PROVIDER NUMBER
WA
Enumeration date
08/30/2006
Last updated
11/29/2012
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