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Individual

GWENDOLYN DELOACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LSWAIC

Contact information

Practice address
2033 6TH AVE STE 1110, SEATTLE, WA 98121-2590
(206) 858-1177
Mailing address
1700 37TH AVE, SEATTLE, WA 98122-3461
(917) 880-9137

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61037144
WA

Other

Enumeration date
12/03/2021
Last updated
12/03/2021
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