Individual
DOUGLAS KING LEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
564 NE RAVENNA BLVD, SEATTLE, WA 98115
(206) 527-2266
Mailing address
564 NE RAVENNA BLVD, SEATTLE, WA 98115
(206) 527-2266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005963
WA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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