Individual
LORETTA JUAREZ-WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 668-1995
(206) 668-1874
Mailing address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 668-1995
(206) 668-1874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LW09635
WA
1041C0700X
Clinical Social Worker
Primary
LW9635
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW09635
WA STATE LICENSING
WA
Enumeration date
11/28/2012
Last updated
11/27/2019
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