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Organization

SEATTLE SOCIAL WORK AND COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER WILDE (SOCIAL WORKER/COUNSELOR)
(858) 598-3713
Entity
Organization

Contact information

Practice address
1812 E MADISON ST, #202, SEATTLE, WA 98122-2843
(858) 598-3713
Mailing address
7414 S 128TH ST, SEATTLE, WA 98178-4346
(858) 598-3713

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
LW60543263
WA
251S00000X
Community/Behavioral Health Agency
Primary
LW60543263
WA

Other

Enumeration date
11/08/2016
Last updated
11/10/2016
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