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Individual

LAURA MARTINA EASTWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, LCSW

Contact information

Practice address
5108 196TH ST SW, LYNNWOOD, WA 98036-6152
(425) 582-2041
Mailing address
1010 HARRIS ST, KELSO, WA 98626-4512
(617) 510-0025

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L11328
OR
1041C0700X
Clinical Social Worker
Primary
LW61307595
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2140834
WA
Enumeration date
08/26/2015
Last updated
09/03/2025
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