Individual
MR. BRUCE PAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
12625 4TH AVE W, SUITE 200, EVERETT, WA 98204-6427
(425) 293-0548
Mailing address
12625 4TH AVE W, SUITE 200, EVERETT, WA 98204-6427
(425) 293-0548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW 00007982
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW 00007982
LICENSE
WA
Enumeration date
06/10/2011
Last updated
06/10/2011
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