Individual
MARDI MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1601 116TH AVE NE, SUITE 104, BELLEVUE, WA 98004-3010
(425) 453-0218
(425) 453-0122
Mailing address
1601 116TH AVE NE, SUITE 104, BELLEVUE, WA 98004-3010
(425) 453-0218
(425) 453-0122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004117
WA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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