Individual
MICHELLE KIM BRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSA
Contact information
Practice address
999 164TH AVE NE, BELLEVUE, WA 98008-3518
(425) 747-4937
Mailing address
999 164TH AVE NE, BELLEVUE, WA 98008-3518
(425) 747-4937
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I-8244
OH
104100000X
Social Worker
Primary
LW60702312
WA
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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