Individual
MR. MYRON FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
4337 15TH AVE NE, STE 104, SEATTLE, WA 98105-5822
(206) 633-0166
Mailing address
4337 15TH AVE NE, STE 104, SEATTLE, WA 98105-5822
(206) 633-0166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004222
WA
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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