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Individual

KEVIN MCGILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
10014 19TH AVE SW FL 2, SEATTLE, WA 98146-3718
(206) 618-3538
Mailing address
10014 19TH AVE SW FL 2, SEATTLE, WA 98146-3718
(206) 618-3538

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60489869
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LW60489869
WA STATE DEPARTMENT OF HEALTH
WA
Enumeration date
02/28/2013
Last updated
05/03/2018
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