Individual
JENNY LYNN GUTAMA KULAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2600 SW THISTLE ST, SEATTLE, WA 98126-3748
(206) 938-1360
(206) 935-6056
Mailing address
PO BOX 3835, SEATTLE, WA 98124-3835
(206) 548-3114
(206) 762-6355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60590581
WA
Other
Enumeration date
10/16/2015
Last updated
03/03/2017
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