Individual
MRS. AMANDA DIAZ SAN GIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 762-1010
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 762-1010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SC60673962
WA
1041C0700X
Clinical Social Worker
Primary
LCSW-4442
HI
Other
Enumeration date
08/22/2016
Last updated
06/25/2019
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