Organization
INSIDE AND OUT TALK THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA A JUAREZ-WAGNER LICSW (OWNER)
(206) 766-0745
Entity
Organization
Contact information
Practice address
4501 15TH AVE S STE 103, SEATTLE, WA 98108-1874
(206) 766-0745
Mailing address
4501 15TH AVE S STE 103, SEATTLE, WA 98108-1874
(206) 766-0745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/11/2022
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