Individual
KIM E RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4201 RUCKER AVE, EVERETT, WA 98203-2215
(425) 382-4000
(425) 382-4001
Mailing address
8609 EVERGREEN WAY, EVERETT, WA 98208-2619
(425) 789-3700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60048741
WA
Other
Enumeration date
01/31/2018
Last updated
01/20/2022
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