Individual
MICHELLE DAWN ENTERLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
10526 NE 68TH ST, SUITE A101, KIRKLAND, WA 98033-7004
(360) 931-6234
Mailing address
101 E 8TH ST STE 110, VANCOUVER, WA 98660-3294
(360) 931-6234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LMSW32945
ID
1041C0700X
Clinical Social Worker
Primary
LW61027323
WA
1041C0700X
Clinical Social Worker
SC60324572
WA
Other
Enumeration date
11/22/2012
Last updated
10/18/2022
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