Individual
MIRANDA MACDICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21907 64TH AVE W STE 200, MOUNTLAKE TERRACE, WA 98043-6200
(253) 306-1755
Mailing address
18111 25TH AVE NE APT W106, MARYSVILLE, WA 98271-2902
(253) 306-1755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61177160
WA
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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