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Organization

DEPARTMENT OF VETERANS AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SERGIO MASCARENAS (SOCIAL WORKER)
(206) 762-1010
Entity
Organization

Contact information

Practice address
1600 S COLUMBIAN WAY, SEATTLE, WA 98108-1565
(206) 762-1010
Mailing address
1600 S COLUMBIAN WAY, SEATTLE, WA 98108-1565
(206) 762-1010

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60156433
WA

Other

Enumeration date
11/30/2016
Last updated
11/30/2016
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