Individual
MRS. LAURA ALISA YEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3322 BROADWAY, EVERETT, WA 98201-4425
(425) 349-6148
Mailing address
PO BOX 3810, EVERETT, WA 98213-8810
(425) 349-6148
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004429
WA
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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