Individual
ANDREA LEE DIELEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
9800 4TH AVE NE, SEATTLE, WA 98115-2152
(206) 302-1200
Mailing address
9800 4TH AVE NE, SEATTLE, WA 98115-2158
(206) 302-1200
(206) 302-1283
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149018068
IL
1041C0700X
Clinical Social Worker
Primary
LW60874880
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149018068
LICENSED CLINICAL SOCIAL WORKER
IL
01
—
LW60874880
LICSW
WA
Enumeration date
09/26/2018
Last updated
04/20/2021
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