Individual
MRS. CAROLYN MARIE WILBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1660 S COLUMBIAN WAY # S-116, SEATTLE, WA 98108-1532
(206) 277-1167
Mailing address
730 S DAVIES RD, LAKE STEVENS, WA 98258-8539
(253) 312-5363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60109853
WA
Other
Enumeration date
10/18/2006
Last updated
03/30/2015
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