Individual
JOANN MOFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12601 11TH AVE NE, TULALIP, WA 98271-9427
(425) 876-1010
Mailing address
12601 11TH AVE NE, TULALIP, WA 98271-9427
(425) 876-1010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00021860
WA
1041C0700X
Clinical Social Worker
Primary
SW40002234
WA
1041S0200X
School Social Worker
—
WA
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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