Individual
MISS SARA LOUISE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, CMHS
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
(206) 321-2497
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
(206) 321-2497
(206) 302-2210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW60940310
WA
Other
Enumeration date
09/10/2012
Last updated
06/06/2023
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