Individual
NARUSSIA BIANCA DELOACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2243 14TH AVE W APT C, SEATTLE, WA 98119-2446
(225) 938-9980
Mailing address
2243 14TH AVE W APT C, SEATTLE, WA 98119-2446
(225) 501-4858
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SC61254176
WA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LW61443848
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG61048510
—
WA
05
—
SA61042901
—
WA
Enumeration date
01/13/2020
Last updated
01/12/2024
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