Individual
MS. MARIANNE PETTERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
200 WEST MERCER ST, SUITE 200, SEATTLE, WA 98119
(206) 284-4861
Mailing address
200 WEST MERCER ST, SUITE 200, SEATTLE, WA 98119
(206) 284-4861
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00004884
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005211606
AETNA
WA
01
—
PE6331
REGENCE BLUE SHIELD
WA
Enumeration date
01/18/2007
Last updated
07/08/2007
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