Individual
STEPHANIE ANN GERDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,
Contact information
Practice address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(206) 948-0096
Mailing address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(206) 948-0096
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
61170400
WA
1041C0700X
Clinical Social Worker
60400
CA
Other
Enumeration date
03/07/2007
Last updated
02/02/2022
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