Individual
CAROL LEE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW MSW
Contact information
Practice address
11416 SLATER AVE NE, SUITE 100, KIRKLAND, WA 98033
(206) 818-1981
Mailing address
19901 105TH PLACE NE, BOTHELL, WA 98011
(206) 818-1981
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00004489
WA
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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