Individual
DIANA FOX TILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
12730 50TH AVE SE, EVERETT, WA 98208-9695
(425) 224-5333
Mailing address
16232 BOTHELL EVERETT HWY, MILL CREEK, WA 98012-1520
(425) 224-5333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
33780
CA
1041C0700X
Clinical Social Worker
Primary
LW60619562
WA
Other
Enumeration date
04/02/2013
Last updated
03/20/2024
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