Individual
MACKENSIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
312 N 85TH ST STE 102, SEATTLE, WA 98103-3659
(505) 681-3488
Mailing address
20109 20TH AVE NW, SHORELINE, WA 98177-2221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61513375
WA
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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