Individual
MICHAEL A. LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2612 NUBGAARD RD, FERNDALE, WA 98248-9226
(360) 223-0890
Mailing address
2612 NUBGAARD RD, FERNDALE, WA 98248-9226
(360) 223-0890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60511807
WA
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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