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Individual

JULIE PATRICIA GALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
8226 BRACKEN PL SE STE 200, SNOQUALMIE, WA 98065-2935
(425) 842-3910
Mailing address
27209 SE 13TH PL, SAMMAMISH, WA 98075-5961
(408) 205-2171

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009172
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LW00009172
SOCIAL WORKER INDEPENDENT CLINICAL LICENSE
WA
Enumeration date
09/12/2022
Last updated
09/12/2022
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