Individual
MICHAEL A WEIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
547 DAYTON ST, EDMONDS, WA 98020-3431
(425) 771-5166
(425) 670-2807
Mailing address
4502 237TH PL SW, MOUNTLAKE TERRACE, WA 98043-5713
(425) 771-5166
(425) 670-2807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005865
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WE0144
REGENCE
WA
Enumeration date
01/29/2007
Last updated
07/08/2007
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