Individual
KATHY CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2400 NE 95TH ST, SEATTLE, WA 98115-2426
(206) 525-5050
(206) 525-9795
Mailing address
2400 NE 95TH ST, SEATTLE, WA 98115-2426
(206) 525-5050
(206) 525-9795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00007606
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4371CO
REGENCE BLUESHIELD
WA
Enumeration date
05/18/2007
Last updated
07/08/2007
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