Individual
CASEY ANN WISHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1902 2ND AVE, 208, SEATTLE, WA 98101-1155
(206) 956-9571
(206) 448-8495
Mailing address
1902 2ND AVE, 208, SEATTLE, WA 98101-1155
(206) 956-9571
(206) 448-8495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60339743
WA
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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