Individual
MRS. LOIS YURAN GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
515 KIRKLAND WAY, KIRKLAND, WA 98033-6219
(206) 240-1742
(425) 880-4010
Mailing address
515 KIRKLAND WAY, KIRKLAND, WA 98033-6219
(425) 880-4600
(425) 880-4010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006089
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
598395
PREMERA BLUE CROSS
WA
Enumeration date
08/05/2007
Last updated
10/01/2017
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