Individual
MS. GAYLE MARIE FORSLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4807 196TH ST SW, SUITE 100, LYNNWOOD, WA 98036-6430
(425) 774-4269
Mailing address
20314 84TH PL W, EDMONDS, WA 98026-6606
(425) 672-8031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004511
WA
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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