Individual
CAROL LEE MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
4649 SUNNYSIDE AVE N STE 344, SEATTLE, WA 98103-6955
(206) 817-3036
Mailing address
4649 SUNNYSIDE AVE N STE 344, SEATTLE, WA 98103-6955
(206) 817-3036
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006091
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8879944
PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
WA
Enumeration date
12/24/2007
Last updated
08/06/2009
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