Individual
LINDA TATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
20200 54TH AVE W, LYNNWOOD, WA 98036-6318
(425) 672-6400
Mailing address
20200 54TH AVE W, LYNNWOOD, WA 98036-6318
(425) 672-6400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006279
WA
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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