Individual
MR. BERNARD MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2051
Mailing address
4827 20TH AVE S, SEATTLE, WA 98108-1902
(206) 762-3678
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00006777
WA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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