Individual
MS. GENA AYTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5643 36TH AVE SW, SEATTLE, WA 98126-2827
(206) 890-3269
Mailing address
5643 36TH AVE SW, SEATTLE, WA 98126-2827
(206) 890-3269
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW 60458150
WA
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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