Individual
TARA J MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4245 ROOSEVELT WAY NE, E410, SEATTLE, WA 98105-6008
(206) 598-3000
(206) 598-3040
Mailing address
4245 ROOSEVELT WAY NE, BOX 354780, SEATTLE, WA 98105-6008
(206) 598-3000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WA
Other
Enumeration date
01/15/2010
Last updated
05/20/2014
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