Individual
MRS. LUANN LEE SINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S. W
Contact information
Practice address
12800 BOTHELL EVERETT HWY, EVERETT, WA 98208-6642
(425) 316-5062
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW00004522
WA
1041C0700X
Clinical Social Worker
0904006086
VA
1041C0700X
Clinical Social Worker
Primary
LW00004522
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945026
—
VA
01
—
0132
CARE FIRST BCBS
VA
01
—
306422
AMERIGROUP VIRGINIA INC.
VA
Enumeration date
12/21/2006
Last updated
02/25/2020
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