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Individual

JUDITH EICHENBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, MPH, LICSW

Contact information

Practice address
401 BROADWAY, 1ST FLOOR, SEATTLE, WA 98104
(206) 744-9691
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60988703
WA
1041C0700X
Clinical Social Worker
SC60669798
WA

Other

Enumeration date
11/16/2015
Last updated
10/24/2023
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