Individual
MIA M SA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
20006 CEDAR VALLEY RD STE 115, LYNNWOOD, WA 98036-6478
(008) 550-2105
Mailing address
20006 CEDAR VALLEY RD STE 115, LYNNWOOD, WA 98036-6478
(800) 550-2105
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
WA
Other
Enumeration date
12/13/2010
Last updated
03/02/2021
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