Individual
MRS. MICHELLE ELAINE MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
22112 78TH PL W, #101, EDMONDS, WA 98026-7935
(206) 954-5413
Mailing address
22112 78TH PL W, EDMONDS, WA 98026-7935
(206) 954-5413
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60061289
WA
Other
Enumeration date
09/21/2010
Last updated
08/09/2012
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