Individual
KIMELA C. VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
325 9TH AVE, BOX 359760, SEATTLE, WA 98104-2420
(206) 744-5416
(206) 744-3486
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00045189
WA
1041C0700X
Clinical Social Worker
Primary
LW00009507
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790884385
—
WA
Enumeration date
09/21/2006
Last updated
02/21/2014
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