Individual
MICAH BEN SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAC
Contact information
Practice address
CRISIS DIVERSION FACILITY (CDF), 1600 S LANE ST., SEATTLE, WA 98144-2810
(206) 682-2371
Mailing address
CRISIS DIVERSION FACILITY (CDF), 1600 S LANE ST., SEATTLE, WA 98144-2810
(206) 682-2371
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG61234919
WA
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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