Individual
KIMBERLY SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155
(206) 362-7282
Mailing address
PO BOX 3007, SEATTLE, WA 98114-3007
(206) 788-3616
(206) 652-5216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60808371
WA
390200000X
Student in an Organized Health Care Education/Training Program
CO61013326
WA
Other
Enumeration date
10/29/2010
Last updated
08/27/2021
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