Individual
MARTHA GRISWOLD MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
6523 21ST AVE NE APT 3, SEATTLE, WA 98115-6924
(206) 321-8696
Mailing address
6045 WELLESLEY WAY NE, SEATTLE, WA 98115-7626
(206) 412-6045
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60760164
WA
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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