Individual
MR. MARK E. HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.I.C.S.W.
Contact information
Practice address
1601 116TH AVE NE, BELLEVUE, WA 98004-3010
(206) 726-4160
Mailing address
1601 116TH AVE NE, SUITE 115, BELLEVUE, WA 98004-3010
(206) 726-4160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004616
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW00004616
LICENSED SOCIAL WORKER
WA
Enumeration date
03/04/2007
Last updated
07/08/2007
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