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Individual

MS. MARIA CAMPBELL LATHROP-SKALOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LICSW, BCD

Contact information

Practice address
15811 AMBAUM BLVD SW STE 110, BURIEN, WA 98166-3071
(206) 242-8211
(206) 242-0162
Mailing address
15811 AMBAUM BLVD SW STE 110, BURIEN, WA 98166-3071
(206) 242-8211
(206) 242-0162

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3264
LA
1041C0700X
Clinical Social Worker
38131
ID
1041C0700X
Clinical Social Worker
Primary
60870468
WA

Other

Enumeration date
02/05/2008
Last updated
03/18/2019
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