Individual
MR. JOSEPH PACKARD CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
500 5TH AVE, SEATTLE, WA 98104-2332
(925) 286-2753
Mailing address
9444 14TH AVE SW, SEATTLE, WA 98106-2811
(925) 286-2753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60934582
WA
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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