Individual
REBECCA ELLEN SAMELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4400 37TH AVE S, SEATTLE, WA 98118-1609
(206) 461-6957
(206) 461-7810
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW61139536
WA
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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