Individual
KIMMY VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 277-1356
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 277-1356
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11449
PR
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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