Individual
MR. MICAH DANIEL LEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
27023 164TH AVE SE, COVINGTON, WA 98042-8241
(206) 715-1762
Mailing address
27023 164TH AVE SE, COVINGTON, WA 98042-8241
(206) 715-1762
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60188308
WA
Other
Enumeration date
07/16/2008
Last updated
08/04/2011
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