Individual
MATTHEW PATRICK LANGEDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
19200 N KELSEY ST, MONROE, WA 98272
(425) 316-5062
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW6033223
WA
1041C0700X
Clinical Social Worker
Primary
LW60332233
WA
Other
Enumeration date
01/27/2011
Last updated
02/08/2019
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