Individual
MY THUC THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
310 3RD AVE NE STE 109, ISSAQUAH, WA 98027-3346
(425) 659-3010
Mailing address
2255 62ND ST SE, AUBURN, WA 98092-8378
(253) 268-8522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61121794
WA
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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