Individual
MS. KATHLEEN LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
40 LAKE BELLEVUE, SUITE 100, BELLEVUE, WA 98005
(425) 452-0905
Mailing address
40 LAKE BELLEVUE, SUITE 100, BELLEVUE, WA 98005
(425) 452-0905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005412
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7444020
AETNA
WA
01
—
AN7451
REGENCE
WA
Enumeration date
07/14/2006
Last updated
07/08/2007
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