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Individual

MEREDITH GRACE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHP, MSW, LICSW

Contact information

Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
(206) 362-7282
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5137

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
LW61589593
WA

Other

Enumeration date
06/20/2022
Last updated
09/12/2025
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