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Individual

KATHLEEN PATRICIA WALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSWAA

Contact information

Practice address
515 116TH AVE NE, OLIVE CREST, BELLEVUE, WA 98004-5223
(425) 462-1612
(425) 462-9268
Mailing address
515 116TH AVE NE, OLIVE CREST, BELLEVUE, WA 98004-5223
(425) 462-1612
(425) 462-9268

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
SA60352584
WA
1041C0700X
Clinical Social Worker
Primary
SA60352584
WA

Other

Enumeration date
01/06/2012
Last updated
07/10/2013
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