Individual
MICHEAL KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D, ACSW, LICSW
Contact information
Practice address
4060 E STEVENS CIR, SEATTLE, WA 98195-0001
(206) 685-1011
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005939
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800001180
RAILROAD MEDICARE
WA
Enumeration date
02/01/2007
Last updated
12/08/2011
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