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Individual

ELLEN BOVARNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MBA, MHP, MSW, LICSW

Contact information

Practice address
24445 NE VINE MAPLE WAY, REDMOND, WA 98053-5677
(206) 291-4773
Mailing address
24445 NE VINE MAPLE WAY, REDMOND, WA 98053-5677
(206) 291-4773

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00006514
WA

Other

Enumeration date
09/14/2015
Last updated
09/14/2015
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