Individual
MEGAN K WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
61185877
WA
104100000X
Social Worker
Primary
SC61264147
WA
1041C0700X
Clinical Social Worker
SC61264147
WA
Other
Enumeration date
03/08/2021
Last updated
05/12/2022
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