Individual
MS. MARY GENEVIEVE SYSLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
14027 SE 281ST ST, KENT, WA 98042-7418
(425) 306-9687
Mailing address
14027 SE 281ST ST, KENT, WA 98042-7418
(425) 306-9687
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00007859
WA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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