Individual
KAREN SUSAN DEITRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8301 161ST AVE NE STE 202, REDMOND, WA 98052-3858
(425) 979-4339
Mailing address
2709 107TH AVE SE, BEAUX ARTS, WA 98004-7202
(425) 829-4863
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWIA.SC.70076336
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104100000X
TAXONOMY
WA
Enumeration date
01/29/2026
Last updated
01/29/2026
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