Individual
MICAH PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSWAIC
Contact information
Practice address
5502 34TH AVE NE, SEATTLE, WA 98105-2305
(206) 420-7345
Mailing address
5502 34TH AVE NE, SEATTLE, WA 98105-2305
(206) 420-7345
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SC60778170
WA
1041C0700X
Clinical Social Worker
Primary
SC60778170
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026117
—
WA
Enumeration date
09/28/2016
Last updated
12/10/2018
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