Individual
MARY DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
4138 CALIFORNIA AVE SW STE C, SEATTLE, WA 98116-4928
(206) 696-8088
Mailing address
5436 41ST AVE SW, SEATTLE, WA 98136-1505
(206) 696-8088
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF 60039669
WA
Other
Enumeration date
07/17/2009
Last updated
01/03/2017
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