Individual
KIMBERLY PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2600 S. W. HOLDEN STREET, SEATTLE, WA 98126
(206) 933-7000
Mailing address
2600 S. W. HOLDEN STREET, SEATTLE, WA 98126
(206) 933-7000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60098294
WA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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