Individual
MS. LISA ANN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
600 1ST AVENUE, SUITE 312, SEATTLE, WA 98104-2239
(206) 624-0098
Mailing address
PO BOX 2604, VASHON, WA 98070
(206) 624-0098
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
LW00005188
WA
Other
Enumeration date
06/02/2011
Last updated
12/04/2020
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