Individual
KATHERINE AVIVA WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
8015 SE 28TH STREET, MERCER ISLAND, WA 98040
(206) 236-1294
Mailing address
8015 SE 28TH STREET, MERCER ISLAND, WA 98040
(206) 276-1549
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61553232
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2023
Last updated
12/04/2025
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