Individual
AIMEE E GONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSWA
Contact information
Practice address
15455 65TH AVE S, TUKWILA, WA 98188-2534
(206) 473-0174
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(206) 473-0174
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60497029
WA
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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