Individual
MIKAELLA ROSE QUIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3000 ROCKEFELLER AVE STE 305, EVERETT, WA 98201-4071
(206) 310-9677
Mailing address
12625 15TH AVE W, EVERETT, WA 98204-5521
(206) 310-9677
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61614614
WA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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