Individual
JAE YOUN BANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
9800 4TH AVE NE, SEATTLE, WA 98115-2152
(206) 302-1200
(206) 302-1283
Mailing address
9800 4TH AVE NE, SEATTLE, WA 98115-2152
(206) 302-1200
(206) 302-1283
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60153517
WA
Other
Enumeration date
02/01/2011
Last updated
03/31/2021
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