Individual
JASON MUNIZ LAVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
23213 PACIFIC HWY S, KENT, WA 98032-2721
(206) 870-8880
(206) 520-1499
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60686322
WA
Other
Enumeration date
04/10/2013
Last updated
10/11/2016
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