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Individual

DERRICK M. ARCIAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
4556 15TH AVE S, SEATTLE, WA 98108-1818
(206) 265-2935
Mailing address
4556 15TH AVE S, SEATTLE, WA 98108-1818
(206) 265-2935

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60966243
WA
171M00000X
Case Manager/Care Coordinator
LW60966243
WA

Other

Enumeration date
11/29/2016
Last updated
06/26/2020
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