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Individual

AJA CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, AAC, LICSW

Contact information

Practice address
2719 E MADISON ST, SEATTLE, WA 98112-4752
(206) 302-2961
Mailing address
1600 E OLIVE ST, SEATTLE MENTAL HEALTH, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60149901
WA
101YM0800X
Mental Health Counselor
Primary
CG60149901
WA
104100000X
Social Worker
LW60281199
WA
1041C0700X
Clinical Social Worker
LW60281199
WA

Other

Enumeration date
01/04/2007
Last updated
09/18/2013
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