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Organization

JUDITH MENDENHALL, MSW, LICSW, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JUDITH MENDENHALL MSW, LICSW, PLLC (OWNER AND MANAGAER)
(206) 300-5008
Entity
Organization

Contact information

Practice address
470 FRONT ST N, ISSAQUAH, WA 98027-2914
(206) 300-5008
(425) 881-6707
Mailing address
470 FRONT ST N, ISSAQUAH, WA 98027-2914
(206) 300-5008
(425) 881-6707

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LW00005376
WA

Other

Enumeration date
02/11/2009
Last updated
02/11/2009
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