Individual
NITARA DANDAPANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1035 SW 124TH ST, SEATTLE, WA 98146-2746
(206) 248-4903
Mailing address
316 BROADWAY, SEATTLE, WA 98122-5325
(206) 624-6477
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWIA.SC.60864947
WA
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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