Organization
MARDI MILLS LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARDI MILLS MSW (PSYCHOTHERAPIST)
(425) 453-2818
Entity
Organization
Contact information
Practice address
1601 116TH AVE NE, SUITE 104, BELLEVUE, WA 98004-3010
(425) 453-2818
Mailing address
1601 116TH AVE NE, SUITE 104, BELLEVUE, WA 98004-3010
(425) 453-2818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004117
WA
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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