Individual
CATHLYN MARIE FRAGUELA RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3400 CALIFORNIA AVE SW # 300, SEATTLE, WA 98116
(206) 320-3399
(206) 320-5506
Mailing address
8856 34TH AVE SW, SEATTLE, WA 98126-3727
(765) 491-1415
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SC60343988
WA
1041C0700X
Clinical Social Worker
Primary
LW60602622
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801272109
—
WA
Enumeration date
08/10/2015
Last updated
08/22/2018
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