Individual
KATHRYN M CHOUMITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-9853
Mailing address
218 NW 73RD ST, SEATTLE, WA 98117-4817
(210) 415-6851
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60802512
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740835297
—
WA
Enumeration date
08/01/2019
Last updated
11/25/2019
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