Individual
MS. IRENA C FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
325 9TH AVE, BOX 359760, SEATTLE, WA 98104-2420
(206) 744-5604
(206) 744-4505
Mailing address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 257-0608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009686
WA
Other
Enumeration date
02/25/2009
Last updated
08/18/2010
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