Individual
EMILY ANN TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
160 NW GILMAN BLVD STE 443, ISSAQUAH, WA 98027-2550
(206) 403-8527
Mailing address
PO BOX 1247, MAPLE VALLEY, WA 98038-1247
(206) 403-8527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61114188
WA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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