Individual
ERIN WALLEY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, CMSW, LICSW
Contact information
Practice address
1101 MADISON ST STE 700, SEATTLE, WA 98104-3599
(206) 215-6300
(206) 215-6301
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW60840883
WA
1041C0700X
Clinical Social Worker
3899
KS
1041C0700X
Clinical Social Worker
Primary
LW60840883
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407166739
—
WA
Enumeration date
10/20/2010
Last updated
10/29/2018
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