Individual
DUSTIN ROY SHOFSTALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 24TH AVE S, SEATTLE, WA 98144-4637
(360) 775-9333
Mailing address
2100 24TH AVE S, SEATTLE, WA 98144-4637
(360) 775-9333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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