Individual
LAURIE J. GOBLE VAN DIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1600 S COLUMBIAN WAY, SEATTLE, WA 98108-1565
(206) 762-2394
(206) 762-2421
Mailing address
PO BOX 3835, SEATTLE, WA 98124-3835
(206) 548-3114
(206) 762-6355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009162
WA
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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