Individual
MALYN TARA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSWA
Contact information
Practice address
325 9TH AVE, BOX: 359760, SEATTLE, WA 98104-2420
(206) 744-4028
Mailing address
116 NW 191ST ST, SHORELINE, WA 98177-3015
(206) 437-8118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60335079
WA
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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