Individual
MARTHA DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCISW
Contact information
Practice address
5608 17TH AVE NW STE 1016, SEATTLE, WA 98107-5232
(206) 747-4538
Mailing address
5608 17TH AVE NW STE 1016, SEATTLE, WA 98107-5232
(206) 747-4538
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61098417
WA
Other
Enumeration date
10/31/2017
Last updated
07/11/2024
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