Individual
GRACE EVELYN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
2100 24TH AVE S STE 260, SEATTLE, WA 98144-4644
(206) 382-5340
Mailing address
2100 24TH AVE S STE 260, SEATTLE, WA 98144-4644
(206) 382-3402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61450814
WA
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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