Individual
MARCIA J. HERIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
923 N 86TH ST, SEATTLE, WA 98103-3933
(206) 526-9809
Mailing address
923 N 86TH ST, SEATTLE, WA 98103-3933
(206) 526-9809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005730
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8902748
L&I CRIME VICTIMS
WA
Enumeration date
09/13/2006
Last updated
10/26/2009
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