Individual
MS. LAURIE GANBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
21907 64TH AVE W STE 330, MOUNTLAKE TERRACE, WA 98043-6238
(425) 434-5594
Mailing address
21907 64TH AVE W STE 330, MOUNTLAKE TERRACE, WA 98043-6238
(425) 434-5594
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
115074
MA
1041C0700X
Clinical Social Worker
Primary
LW60673320
WA
Other
Enumeration date
03/02/2007
Last updated
12/11/2024
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