Individual
CARLY NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSWAIC
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
(206) 362-7282
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SC61314133
WA
104100000X
Social Worker
Primary
SC61314133
WA
Other
Enumeration date
08/04/2022
Last updated
04/24/2025
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