Individual
COSETTE DAWNA RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC, NCTMB, LMP,
Contact information
Practice address
1001 290TH AVE SE, FALL CITY, WA 98024-7403
(425) 222-3706
(888) 788-3419
Mailing address
1001 290TH AVE SE, FALL CITY, WA 98024-7403
(425) 222-3706
(888) 788-3419
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60106047
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609939891
PREMERA
WA
Enumeration date
12/18/2006
Last updated
06/25/2025
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