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Individual

MARIE A GOINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
23531 58TH AVE S APT BB101, KENT, WA 98032-3755
(206) 849-4530
Mailing address
23531 58TH AVE S APT BB101, KENT, WA 98032-3755
(206) 849-4530

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60798301
WA

Other

Enumeration date
05/22/2020
Last updated
05/22/2020
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