Individual
HEATHER KAZDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
200 20TH AVE SW, OLYMPIA, WA 98501-2808
(505) 264-0601
Mailing address
200 20TH AVE SW, OLYMPIA, WA 98501-2808
(505) 264-0601
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M 5779
NM
1041C0700X
Clinical Social Worker
Primary
1041C0700X
WA
1041S0200X
School Social Worker
M 5779
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80570062
—
NM
Enumeration date
03/02/2007
Last updated
06/27/2016
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