Individual
CLARA COGOLLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
900 PACIFIC AVE STE 100, EVERETT, WA 98201-4188
(425) 258-7096
Mailing address
3735 115TH AVE NE # APRI207, BELLEVUE, WA 98004-7950
(201) 647-6590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61180231
WA
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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