Individual
AMANDA KARA LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2133 3RD AVE, SEATTLE, WA 98121-2385
(206) 223-3644
Mailing address
2133 3RD AVE, SEATTLE, WA 98121-2385
(206) 223-3644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037967400001
—
PA
Enumeration date
08/14/2020
Last updated
10/14/2021
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