Individual
LISA ANNE LEITZELAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 583-6578
Mailing address
17823 25TH AVE NE, SHORELINE, WA 98155-3901
(206) 948-3257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60341845
WA
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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