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Individual

MATTHEW DIMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW-A, MSW

Contact information

Practice address
119 PELLY AVE N, RENTON, WA 98057-5714
(206) 899-9940
Mailing address
119 PELLY AVE N, RENTON, WA 98057-5714
(206) 899-9940
(206) 899-9940

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
10382599-3502
UT
1041C0700X
Clinical Social Worker
Primary
SC60968802
WA

Other

Enumeration date
01/12/2018
Last updated
07/01/2019
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