Individual
AMY HUSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
15418 MAIN ST, MILL CREEK, WA 98012-9030
(425) 225-8000
Mailing address
19508 29TH AVE SE, BOTHELL, WA 98012-6913
(231) 750-5136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61149864
WA
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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