Individual
KRISTINE PARKES MATEER
Active
Individual
KRISTINE PARKES MATEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004587
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010136170
REGENCE BLUE SHIELD OF ID
WA
01
—
156474
MANAGED HEALTH NETWORK
WA
01
—
1952PA
ASURIS NORTHWEST HEALTH
WA
01
—
91056495299201A014
TRICARE
WA
Enumeration date
08/02/2006
Last updated
07/09/2007
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