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Individual

MRS. NICOLE THERESE SHIRAEV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
150 NICKERSON ST, SUITE #105, SEATTLE, WA 98109-1634
(540) 808-5343
Mailing address
150 NICKERSON ST, SUITE #105, SEATTLE, WA 98109-1634
(540) 808-5343

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904006506
VA
1041C0700X
Clinical Social Worker
Primary
LW60091324
WA

Other

Enumeration date
09/26/2007
Last updated
10/20/2014
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