Individual
ASH PETERSON WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1600 S LANE ST, SEATTLE, WA 98144-2810
(206) 498-3632
Mailing address
6315 BEACON AVE S, SEATTLE, WA 98108-3666
(206) 498-3632
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60297198
WA
Other
Enumeration date
11/19/2018
Last updated
09/09/2019
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