Individual
MARGO JANINE BURNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
216 JAMES ST, SEATTLE, WA 98104-2212
(206) 464-6454
Mailing address
22700 28TH AVE S APT 309, DES MOINES, WA 98198-4418
(206) 919-5819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60240494
WA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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