Individual
LAURIE ANNE SIROTKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
19101 36TH AVE W STE 208, LYNNWOOD, WA 98036-5759
(888) 365-3637
(425) 483-1841
Mailing address
PO BOX 15178, MILL CREEK, WA 98082-3178
(888) 365-3637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LW60322100
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040618
—
WA
Enumeration date
08/20/2008
Last updated
02/01/2022
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