Individual
MRS. DENISE LESLIE GERVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
10940 NE 33RD PL, SUITE 107, BELLEVUE, WA 98004-1432
(206) 227-3582
Mailing address
10940 NE 33RD PL, SUITE 107, BELLEVUE, WA 98004-1432
(206) 227-3582
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LW00004341
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW00004341
LICENSE
WA
Enumeration date
03/31/2007
Last updated
07/08/2007
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