Organization
MARKS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JOSEPH NIEZGODA LICSW, MSW (PRESIDENT)
(206) 321-3997
Entity
Organization
Contact information
Practice address
4219 S OTHELLO ST APT 517, SEATTLE, WA 98118-3886
(206) 321-3997
Mailing address
PO BOX 84097, SEATTLE, WA 98124-8497
(206) 321-3997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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