Individual
ANTONIO SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSWA
Contact information
Practice address
2500 LAKE WASHINGTON BLVD N, RENTON, WA 98056-2597
(425) 228-5776
Mailing address
2500 LAKE WASHINGTON BLVD N, RENTON, WA 98056-2597
(425) 228-5776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60443412
WA
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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