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Individual

MRS. AMY HAGERSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSWAIC

Contact information

Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
(206) 519-9326
Mailing address
913 10TH AVE E APT A, SEATTLE, WA 98102-4535
(773) 726-0993

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61133650
WA

Other

Enumeration date
04/22/2021
Last updated
04/22/2021
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