Individual
NICOLE MICHELLE FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1621 114TH AVE SE STE 224, BELLEVUE, WA 98004-6905
(425) 449-6963
Mailing address
1621 114TH AVE SE STE 224, BELLEVUE, WA 98004-6905
(425) 449-6963
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60510863
WA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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