Organization
LINDA BACKENSTOSE PS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BACKENSTOSE MA LICSW (PRESIDENT)
(425) 344-8041
Entity
Organization
Contact information
Practice address
1129 W MAIN ST, SUITE 194, MONROE, WA 98272-2034
(360) 805-0935
(360) 805-2835
Mailing address
1417 TTEREVE DR, EVERETT, WA 98203-5761
(425) 344-8041
(360) 805-2835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005942
WA
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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