Individual
AMMIE IMAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 277-4756
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
11490
SC
Other
Enumeration date
01/03/2014
Last updated
11/25/2015
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