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Individual

MAKINZIE ANN CODY-BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
635 ANDOVER PARK W STE 210, TUKWILA, WA 98188-3364
(206) 678-7064
(206) 325-6516
Mailing address
502 RAINIER AVE S STE 204, SEATTLE, WA 98144-1912
(206) 325-6516

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
61041388
WA

Other

Enumeration date
05/16/2016
Last updated
12/10/2024
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