Individual
MICHAEL PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 554-1769
Mailing address
101 TAYLOR AVE N, APT 504, SEATTLE, WA 98109-5146
(206) 779-5369
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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