Individual
DAVID CARLILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2089
(503) 580-7207
Mailing address
12901 NE 28TH ST APT 62, VANCOUVER, WA 98682-1224
(503) 580-7207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61321595
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E00193509
COUNTRY FINANCIAL
—
Enumeration date
09/11/2018
Last updated
12/01/2022
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