Individual
ANN M. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1930 POST ALY, SEATTLE, WA 98101-1074
(206) 728-4143
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712
(206) 548-3114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006243
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255
INTERNATIONAL COMMUNITY HEALTH CENTER
WA
01
—
LW00006243
STATE HEALTH LICENSE
WA
Enumeration date
12/26/2008
Last updated
04/24/2023
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